STATE OF NEW MEXICO Underage Permission Form
PARTNERS FOR SUCCESS · 2024
This form is for students 16 and 17 years old.
Individuals under the age of 16 may not apply.
Student's Full Name:
Date of Test:
/
Month
/
Day
Year
Which test are you going to take?
Adult Education (AE) or Adult Literacy (AL) Program
High School Equivalency (HSE) test (HiSET® or GED®)
Student's Date of Birth:
/
Month
/
Day
Year
DOB
Date of withdrawal from school:
/
Month
/
Day
Year
(If applicable)
Name, city, and state of school from which student withdrew. If not applicable, you may leave blank.
School Name:
School city and state or country:
Was the student homeschooled?
YES
NO
Please provide a description of the situation that resulted in the student's withdrawal from school and/or decision to seek the services and opportunities mentioned above.
Because of the above-stated situation, we agree that the underage individual shall be permitted to participate in an Adult Education or Adult Literacy program or take an HSE test.
Parent/Guardian Name:
Parent/Guardian Signature:
Submit
Should be Empty: