Shorter College Adult Education Interest Form 604 N. Locust St. NLR, AR
Thank you for expressing interest in Shorter College Adult Education! We would love to visit with you about how adult education can help you meet your educational goals. Please complete the following form. If you are interested in the CNA program, testing is mandatory prior to being placed on the waiting list. If you are under 18 you MUST have an "Intent to Home School Form signed and NOTARIZED prior to completing this form and your Parent must accompany you at testing.
Do You Have A HS Diploma Or GED
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Yes
No
Last Grade Complete
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Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Address
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Address
Apt. #
City
State
Zip Code
If under 18, Do you have a signed and notarized "Intent to Home School" Form? Please choose one.
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I am 18 or over, this does not apply.
Yes
No
Which program are you Interested In?(Choose One Only) (HS Diploma or GED needed before applying for CNA) CNA classes are filled at this time please check back in January.
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GED
GED ordered by Judge
If ordered by Judge, Court or Probation, What is the Judge's name?
Please schedule an appointment time for program testing (Bring Your Picture ID And Social Security Card For Appointment) There are LIMITED appointments available each day. Please write your date and time down. PLEASE BE ADVISED, TESTING MAYBE CANCELED IF INCLEMENT WEATHER
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