Diploma Connect Request for Information

First Name *

Last Name *

Phone Number *

Email Address *

Age *

How did you hear about this program? *

What was the last high school you attended? *

How much high school did you have left to graduate? *

I was almost finished (less than 5 credits left).

I had about 1 year left.

I had about 2 years left.

I had 3 or more years left.

I have not attended high school.

I don't know how much I had left. I don't know how much I had left.

Have you attended adult education in the past (GED, adult diploma)? *

Yes

No

Where did you attend classes for adult education/GED? *

Mark any of the GED subject tests you have passed. *

Is there anything else you'd like us to know?