EmailMe Form - 2024 - 2025 - Adult Education Registration

The Parkway-Rockwood Community Education Adult Education and Literacy program provides FREE virtual online and in-person classes for adult students. Classes begin September 9th and are ongoing. New students are added to classes every two or three weeks. All students are required to have a current placement test on file prior to beginning classes. Testing will be done in-person at multiple testing locations throughout the St. Louis County area. Once our office receives your application, a staff member will contact you to set up an appointment for testing and/or orientation.
Requirements:

* Must have a Missouri mailing address
* Must be at least 17 years of age
* Cannot be enrolled in high school
* Cannot hold an F1 Visa (J1 Visa holders are allowed; however, course work will not qualify for credit.)
* Must attend a minimum of 6 hours per week
ENGLISH AS A SECOND LANGUAGE
English as a Second Language classes are for students whose first language is not English. Students in beginning classes learn to speak, listen for understanding, read, and write English. Intermediate and advanced students have the opportunity to improve conversation, grammar, pronunciation, reading, and writing.
Do you want English as a Second Language Classes? *
Yes
No
Select the ESL class times and locations that work best for you:

Please note: Most classes are in-person. Limited virtual classes are available to students who qualify.

You can register for more than one class, but make sure that the class times are not the same. *
Mon - Thurs; 9 am - noon at the Community Learning Center; 13157 North Olive Spur Rd, Creve Coeur, MO 63141
Mon - Thurs; 9 am - noon at Manchester United Methodist; 129 Woods Mill Rd, Manchester, MO 63011
Mon - Thurs; 9 am - noon at Faith Baptist Church; 12061 Natural Bridge Rd., Bridgeton, MO 63044
Mon - Thurs; 1 - 4pm at the Community Learning Center; 13157 North Olive Spur Rd, Creve Coeur, MO 63141
Mon - Wed; 6 - 9 pm at the Community Learning Center; 13157 North Olive Spur Rd, Creve Coeur, MO 63141
Mon - Wed; 6 - 9 pm at Clayton High School; 1 Mark Twain Circle, Clayton, MO 63105
Mon - Wed; 6 - 9 pm at Hancock Place Middle School; 243 West Ripa Ave, St. Louis, MO 63125
Mon - Thurs; 9 am - noon; virtual/online (Intermediate and Advanced Students)
Mon - Wed; 6 - 9 pm; virtual/online (Intermediate and Advanced Students)
HIGH SCHOOL EQUIVALENCY (HSE)
High School Equivalency (HSE) classes are for those students who do not have a high school diploma, and who want classes to help prepare for the HiSET (GED) test. Students will study math, language, reading, social studies, and science. Students who already have a high school diploma are also welcome to attend HSE classes. These students will learn how they can improve basic reading, writing, and math skills. Students whose first language is not English need to take a placement test to qualify for HSE classes.
Do you want High School Equivalency Classes? *
Yes
No
Have you passed any sections of the HiSET (High School Equivalency Test) or the GED (General Educational Development). If YES, make sure you answer the questions that pertain to the correct test (HiSET or GED). *
Yes
No
Select all sections of the HiSET (High School Equivalency Test) that you have passed. *
Language Arts – Reading
Language Arts – Writing
Mathematics
Science
Social Studies
None
Select all sections of the GED (General Educational Development) that you have passed on the current 2014 version of the test. *
Reasoning through Language Arts
Mathematical Reasoning
Science
Social Studies
None
Select the high school equivalency class time and location that works best for you:

Please note: Most classes are in-person. Limited virtual classes are available to students who qualify. If the class is full, you will be placed on a wait list. *
Mon - Thurs; 9 am - noon at the Center for Youth on the Rise; 12079 Bellefontaine Rd, Spanish Lake, MO 63138 Note: This class is for youth ages 17 - 23.
Mon, Tues & Thurs; 9 am - noon at the Missouri Job Center; 715 Northwest Plaza Dr, St. Ann, MO 63074
Mon - Thurs; 9 am - noon at Mers-Goodwill; 2545 S. Hanley, Brentwood, MO 63144
Tues - Thurs; 10 am - 1pm at Trinity Mt. Carmel; 11755 Mehl Ave, Florissant, MO 63033
Mon - Thurs; 1 - 4 pm at the Community Learning Center; 13157 North Olive Spur Rd, Creve Coeur, MO 63141
Mon & Tues; 6 - 9 pm at Pattonville High School; 2497 Creve Coeur Mill Rd, Maryland Heights, MO 63043
Mon & Tues; 6 - 9 pm at Christ the King Church; 11370 Old Halls Ferry Rd, Florissant, MO 63033
Mon & Tues; 6 - 8:30 pm at the Community Learning Center; 13157 North Olive Spur Rd, Creve Coeur, MO 63141
Name *
First Last
Social Security Number (no dashes)
Birth Date *
MM / DD / YYYY
Sex *
Male
Female
Are you Hispanic? *
Yes
No
Select Yes or No for each question. You must mark yes to at least one. *

Yes No

American Indian or Alaska Native:

Asian:

Black or African American:

Native Hawaiian or Other Pacific Islander:

White:
Highest Educational Level? Choose One. *
No Schooling
Grades 1-5
Grades 6-8
Grades 9-12 (no diploma)
Secondary School Diploma or alternate credential
Secondary School Equivalent
Some Postsecondary education, no degree
Postsecondary or professional degree
Unknown
Location of Highest Level of Education *
U.S. Based Schooling
Non U.S. Based Schooling
If not in the United States, what country?
Employment Status *
Employed
Unemployed and looking for a job
Unemployed and Not Looking for a job
Employed with Separation Notice

Select Yes or No for each question. You must mark yes to at least one. *

	Yes	No
Cultural Barriers:
Disabled:
Displaced Homemaker:
Low Income:
English Language Learner:
Ex Offender:
Exhausting TANF Within Two Years:
Foster Care Youth:
Homeless:
Long Term Unemployed:
Less than a 12th grade education:
Migrant Farmworker:
Seasonal Farmworker:
Single Parent or Guardian:

Current Residence Address *

Street Address City State / Province / Region Postal / Zip Code
Phone *
### - ### - ####
Type of Phone? *
Cell
Home
Email Address *

Retype your email address.
Have you previously attended this school? *
Yes
No
If yes, who was your teacher?
Select Yes or No for each question. *

Yes No

Public Assistance:

Dislocated Worker:

Minor with Adult Status:

Immigrant:

Apparent or Disclosed Disability:
Are you receiving services through WIOA (Workforce Investment Opportunity Act)? *
Yes
No
If so, which program? *
Title I Adult
Title I Dislocated Worker
Title I Youth
Title III Wagner-Peyser
Title IV Vocational Rehabilitation
None
Emergency Contact Name: *
First Last
Emergency Contact Phone Number: *
### - ### - ####
Do you have a disability that you wish to share with the office? This may help with testing.
None
Hearing impaired
Visually impaired
Learning disabled
Other physical disability
Please inform the office of any vital health information you think they may need to know.
What is your native language? *
Are you able to attend classes for at least six hours per week? *
Yes
No
I'm not sure
How long do you plan on attending classes? *
Fewer than four weeks
Five to eight weeks
Eight to twelve weeks
Longer than twelve weeks
How did you hear about us?
Family or friend
Agency (Job Center, International Institute)
Website
Flyer
Other
I certify that the information given on this application is true and accurate to the best of my knowledge and belief. I consent to the release of my records maintained by a state or local education agency, including the information on this form and transcripts, grades, certificates, the High School Equivalency, and diplomas earned by me. This information may be used by the Missouri Department of Elementary and Secondary Education and shared with other state agencies for research and reporting purposes. Data shared between agencies includes, but is not limited to, employment, additional schooling, and follow-up services provided to you by agencies identified in the Workforce Innovation and Opportunity Act (2014). I certify that I am not currently enrolled in high school (or homeschool) or hold an F1 Visa.
Do you agree to the statement above? *
Yes
Please type your name to serve as your signature. *

	Yes	No
American Indian or Alaska Native:
Asian:
Black or African American:
Native Hawaiian or Other Pacific Islander:
White:

	Yes	No
Public Assistance:
Dislocated Worker:
Minor with Adult Status:
Immigrant:
Apparent or Disclosed Disability:

ENGLISH AS A SECOND LANGUAGE

HIGH SCHOOL EQUIVALENCY (HSE)