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G.E.D®
PROGRAM REGISTRATION
To register, please take the time to fill out the information below.
First Name
Last Name
Email
Address
City
Zip Code
Phone
Birthday
Gender
Choose an option
Female
Male
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Race
Choose an option
Black
White
Latino/Hispanic
Other
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Who can we call if we cant reach you?
Their phone number
Did you serve in the military?
Choose an option
Yes
No
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What is the name of the last school you attended? (required)
If you served in the military, which branch?
What was the last grade you completed? (required)
What year?
Were you in special classes?(required)
Choose an option
Yes
No
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Have you attended Thea Bowman Center in the past? (required)
Choose an option
Yes
No
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If you have attended Thea Bowman Center in the past, what was the date you last attend?
Choose an option
Yes
No
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Have you attended GED® classes at another site? (required)
Choose an option
Yes
No
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If you attended GED® classes at another site, what was the name of the organization?
Have you taken the Ohio G.E.D. test since 2002? (required)
Choose an option
Yes
No
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Do you need help improving your computer skills? (required)
Choose an option
Yes
No
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What are your learning goals? (Check all that apply) (required)
Get my GED
Improve my learning
Attend College
Go to trade school
Keep current job
Get a better job
Do you have regular transportation? (required)
Choose an option
Yes
No
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