GED Interest Form (Daytime/Evening) Programs

Isaacs Education and Workforce: Academic Services Eligibility Check Form

Help us make sure we are the right fit for you by completing this quick survey!
Which program are you interested in?*
What is your name?*

First NameLast Name
What are your pronouns?*

She/HerHe/HisThey/ThemOther
Are you a resident of one of the five boroughs (Manhattan, Brooklyn, Bronx, Staten Island, Queens)?*

ManhattanBrooklynBronxStaten IslandQueensNone of the above
Are you currently employed?

YesNo
When is your birthday?*

MonthDayYear
Date
We are sorry to inform you that you are not eligible to participate in our program, at this time. If you feel that you have recieved this message in error, please reach out to kdevine@isaacscenter.org.
What is the best number to reach you?*
Please enter a valid phone number.
What is your email address?*
example@example.com
If you are 17 or younger, do you have your working permit ("salmon colored" working papers)?

YesNo
Are you eligible for employment in the United States?

YesNo
How did you find out about our program?*
Referral Program Name
Please share the name of the staff that referred you from the program you named above
Do you already have a diploma?
We have a team of success coaches who are qualified to get our participants access to resources that best fit their needs. Are you a parent, or are you and/or your partner expecting?

YesNo
While in school did you have an individualized educational plan (IEP)? If so, what were your special accommodations? Sharing this helps us understand the supports you should be provided with as a student with us.
Which of the following Regents exams have you passed?

Math: Algebra, Trigonometry, GeometrySocial Studies: History, Social Studies, GlobalScience: Chemistry, Earth Science, Living Environment, PhysicsEnglishI have not passed any Regents examsOther
Review the items listed below and indicate which items you have access to and the items you may need help getting access to/creating.
Valid Photo ID

I have thisI don't have this and need help getting thisN/A
Passport

I have thisI don't have this and need help getting thisN/A
Social Security Card

I have thisI don't have this and need help getting thisN/A
Birth Certificate

I have thisI don't have this and need help getting thisN/A
High School Transcript

I have thisI don't have this and need help getting thisN/A
Proof of Address - (Utility Bill, Bank Statement, Letter from a City of Government Agency, etc)

I have thisI don't have this and need help getting thisN/A
Resume

I have thisI don't have this and need help getting thisN/A
Our program is currently entirely in-person and requires students to maintain an average of at least 85% attendance. (Day GED Program: daily from 9a-3p, Evening GED Program Tu, -Thu, 6p-9p)Considering the schedule, please share any barriers you may have to committing to the program.
Advance and Earn Applicants Only (day program): Our program requires eligible participants to commit to a paid internship. This means that you may have your school schedule altered to allow for you to attend your internship between 9-3. Do you agree to commit to this if you are eligible?
Based on industry standards, our current employer partners may have a vaccination mandate to ensure placement. Which of the following applies to you?
Company
Form Type
Date

MonthDayYear
Date
Age - Days
Age
Should be Empty:

Isaacs Education and Workforce: Academic Services Eligibility Check Form