ELL/GED Registration

 
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 ELL/GED Registration Form 
If you need to contact our Student Services Department, the numbers are 239-377-4556 or 239-377-9941.

 
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(As it appears on Government Issued ID)
 

 

 
   
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(000)000-0000
 
   
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(Select all that apply)
 
  
  
  
  
  
   
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(Select One- To be completed upon entry for each term/semester)
 
   
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(Select One- To be completed upon entry for each term/semester)
 
   
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(Select all that apply- To be completed upon entry for each term/semester)
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
   
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  The school system provides services for persons with disabilities. If you need assistance in the course of your studies, please notify a school or college administrator. Section 119.071 (5)(a)2.-4., Florida Statutes requires agencies to notify individuals of the purpose(s) that require the collection of Social Security numbers. The Adult Education Department of The School District of Collier County collects student’s Social Security numbers for the following purposes: *Social Security numbers are used by the Florida Department of Education as a standardized identification number for the required reporting of yearly learning information, annual deliverables, and other required annual reports and data transmittals. I hereby certify that the information I have given on this registration is true and complete. I understand that a false statement will be subject to penalties pursuant to 837.06, Florida Statues. I understand there are NO REFUNDS available. I understand that I will be dropped from the program if I accumulate six (6) consecutive absences.
   
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By typing your name, as an electronic signature, you agree that the information you provided is true.
 
   
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  Select Date
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(If under 18)
 
   
 
 
 
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