Form - Eaton RESA Adult Education New Student Interest Form

Student Information

Student's First name Please use your legal name.

Student's Middle Initial

Student's Last Name

Gender (required) Male Female Non-Binary Prefer not to answer

Student's Date of Birth

Phone Number

Email Address

Please attach a copy of your valid State of Michigan ID or Drivers license. (Your ID must be issued by the State of Michigan. Other states will not be accepted). (required)

Filename Size Status

0 b 0%

Education History

What was the last school you attended?

What was your reason for leaving?

What was the highest grade level you completed? (required) K-5 6-8 9 10 11 12

Did you receive any of the following:

Do you have any prior experience with the GED/HiSET®?

Goals and Support Needs

Do you need childcare services while attending classes?

Class Location Preference? (required) Delta Township District Library East Lansing Public Library Holt - Caterpillar Corner (Childcare Available) Westside Community YMCA (Childcare Available) Lansing - Capital Area Michigan Works! Grand Ledge Area District Library Mason Community Services Eaton Rapids - Greyhound Central St Johns - Briggs District Library Virtual

What are your goals after you complete your GED/ HiSET®?

How did you hear about our program? (required) Billboard Word of Mouth Agency Referral Friend or Family Referral Facebook Website Google Other

If you answered other, please explain.

When you click Proceed to Step 2, you will be redirected to complete your Adult Learning Plan. This state-required step takes about 30 minutes and must be completed in one sitting. Why your input matters: Noting all the categories that may be a barrier to your success allows us to build a personalized support plan around your specific needs. Please select all barriers that apply to you during the process. Once you are ready, select "Proceed to Step 2."