Horizonte Adult Education Registration Form
I am interested in:
English Language Courses
Adult High School Completion Credit Classes (for diploma)
GED Preparation Classes (for GED)
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State / Province
Postal / Zip Code
Date of Birth
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American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
More than One Race
Highest School Grade Completed
No School Completed
Achieved High School Diploma
Completed Some College
Beyond Bachelor's Degree
Where did you attend school?
What Language is spoken at home?
If you attended High School, which high school was it?
Current Employment Status
Employed, but received of termination of employment or military separation is pending
Not in the Labor Force
How did you hear about Horizonte?
Have you been referred by an agency?
DWS (Department of Workforce Services)
UHHR (Utah Health and Human Rights)
CCS (Catholic Community Services)
IRC (International Refugee Center)
Other Agency (Type in below)
If referred by another agency not listed above, please fill in here.
Please upload your proof of Utah Address.
ExamplesL Utah Driver's License, Rent Agreement, Mail addressed to student
Long Term Goals
Improve English Skills
Gains US Citizenship
Retain or Improve Employment
Enter Post-Secondary or Job Training
Career Goal (What do you want to do as a career?)
You should be receiving a email with a copy of your registration submission and a introduction to your teacher email within 3-5 business days.
Should be Empty: