Norwood Adults Learning Center

School Registration
Norwood ESL Adults Learning Center
Additional documents for registration

Bring this registration form and the following documentation to the school office.

• Original Certified Birth Certificate
• Original Social Security Card
• Current Immunization Form
• Current Proofs of Residence (ex. power, water or gas bill)
Student Information
Name

First NameLast Name
Birth Date

MonthDayYear
Date
Gender
Ethnicity
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Grade
Have you previously applied to or attended this school?

YesNo
If yes, what year?
Current Residence Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Parent/Guardian Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code