Interest Form - Christina Adult Education & Literacy Program

Interest Form - Christina Adult Education & Literacy Program
Date of Submission*

MonthDayYear
Date
Please complete the form below to obtain information regarding our James H. Groves Adult High School/In-School Credit, ABE/GED®, ESL, and our Wilmington Family Literacy program registration and enrollment. Upon completion, a staff member will contact you as soon as possible.
Tell Us About Yourself
Student Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Please enter a phone number with voicemail set up to receive voice messages.Format: (000) 000-0000.
Program Interest
Are you a returning student to Adult Education?
Which program are you interested in attending?
prevnext( X )
ABE/GED
Adult Basic Education (ABE) classes offer an opportunity to build reading, writing and math skills whether you have a secondary credential or not. Many of our ABE students go on to earn a Groves Adult High School Diploma or GED® credential.

$ Free



English as a Second Language (ESL)
English as a Second Language (ESL) program can help you become a U.S, Citizen, get a drivers license, get a better job, communicate better with your children's teachers and doctors, and help earn a GED or HS diploma

$ Free



James H. Groves Adult High (Only at Glasgow High School)
James H. Groves Adult High School is a state-approved adult secondary school designed to provide adults and out-of-school youth with an opportunity to complete a high school education and earn a State of Delaware High School Diploma.

$ Free



James H. Groves High School (ONLY for Christina School District high school students)
$ Free
Education History & Information
Last School Attended
High School Diploma or In-School Credit Interest ONLY
Last Grade Completed in School*
Approximate Number of Credits Earned (if known)
Optional
Christina Adult Education WebsiteFacebookTwitterGoogle searchFriend/FamilyPhone (Christina Adult Education & Literacy Program Main Office)Referral from Outside Agency i.e. DOLInstagramNewsletterOther
Questions, Comments, or Concerns
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Interest Form - Christina Adult Education & Literacy Program

Tell Us About Yourself

Program Interest

Education History & Information

Optional