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A better future awaits

GED Preparation Program Application Form

Ready to take the next step? Complete the application form to join our GED prep program and start building a better future.

PERSONAL INFORMATION

Name

Date of Birth

Phone Number

Address

Preferred Method of Contact

Phone Email

DEMOGRAPHICS

Highest Level of Education Completed

Are you working?

Full Time Part Time Unemployed

PROGRAM INTEREST

Why are you interested in earning a GED?

Is obtaining your high school diploma/GED part of your transitional plan?

Yes No

Have you ever taken GED classes before?

Yes No

Preferred Class Format

In-Person Online Hybrid

Are you affiliated with any Maryland Agency: (i.e., Parole/Probation/Housing, etc.)?

Yes No

Which subjects do you need the most help with?

Math Language Arts Science Social Studies

AVAILABILITY

Preferred Days and Times for Classes

Available for:

Full-time Part-time

SPECIAL SUPPORT NEEDS

Do you require any special accommodations?

Yes No

Please specify If you answered "Yes" in the previous question (e.g., learning disabilities, physical needs)

Do you need assistance with any of the following?

Childcare Transportation Financial Aid No, Thanks!

MOTIVATION AND GOALS

What are your goals after earning your GED?

What motivates you to pursue a GED now?

EMERGENCY CONTACT

Name

Relationship

Contact Information

IMPORTANT: By submitting the form below, I confirm that the information provided is accurate and I agree to be contacted regarding this program.

Get a Personal Consultation

Ready to take the next step? We’re here to listen, answer your questions, and guide you toward the right resources. Schedule a free one-on-one consultation today.

Free Consultation