Godman Guild New STAR Application
Student Details:
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us? (Please select all that apply)
*
Billboard
Internet Search
Social Media
Newspaper
Magazine
Friend/Family
Other
How did you hear about us?
*
Please Select
Newspaper
Internet/Social Media
Magazine
Billboard
Other
Which Program are you interested in?
*
HSE / GED
ESOL
Career Bridges
Highest Grade Level Completed
*
What subject do you find most difficult?
*
Have you taken any portion of the GED Test?
*
Yes
No
Which portions of the GED have you already taken AND passed?
*
Reasoning through Language Arts
Math
Science
Social Studies
Job History?
*
Career Goals?
*
How would you like to attend class?
*
M-TH, 9 AM - 12 PM (In Person at Godman Guild)
M-TH, 1 PM - 4 PM (In Person at Godman Guild)
Country Of Origin?
*
Primary Language?
*
How long have you been in the US?
*
When would you like to attend Language Arts class?
*
Language Arts (M/W 9 AM - 12 PM, In Person at The Reeb Center)
Language Arts (T/TH 5 PM - 8 PM, Online)
I've already passed the Science, Social Studies, AND Reasoning through Language Arts sections of the GED.
When would you like to attend Math class?
*
Math (M/W 5 PM - 8 PM, Online)
Math (T/TH 9 AM - 12 PM, In Person at The Reeb Center)
I've already passed the Math section of the GED.
When would you like to attend class? (Please note: not all options are available for all ESOL Levels. After your pre-test is graded, staff will reach out if your selected class time is unavailable to you)
*
AM (M/W 9 AM - 12 PM, In Person at Whitehall Library)
AM (T/TH 9 AM - 12 PM, Online)
PM (M/W 5 PM - 8 PM, Online)
Will any of the following be a barrier to your attendance? (Select all that apply)
*
Laptop (Required for virtual class)
Childcare
Any physical or mental disabilities
Transportation
Other
Please explain
*
Submit
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