EmailMe Form - Summer 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. Summer classes begin Tuesday, July 1, 2025 and run through Tuesday, August 19, 2025. All students are required to complete placement tests on the first day of class. **If you are signing up for virtual English class, check your email for instructions.
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 Visas holders are allowed; however, course work will not qualify for credit.)
* Must attend a minimum of 9 hours per week
* Must attend the entire session, from July 1-August 19
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 time and location that works best for you:

Please note: Most classes are in-person. Limited virtual classes are available to students who qualify. *
Mon - Thurs; 9 am - noon 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 - Thurs; 9 am - noon; virtual/online (computer or tablet required)
Mon - Wed; 6 - 9pm; virtual/online (computer or tablet required)
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 or 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: All summer classes are in-person. *
Mon - Thurs; 9 am - noon at the Center for Youth on the Rise; 12079 Bellefontaine Rd, Spanish Lake, MO 63138 Note: This class is ONLY for youth ages 17 - 23.
Mon & Tues; 9 am - noon at the Missouri Job Center; 715 Northwest Plaza Dr, St. Ann, MO 63074
Mon - Thurs; 1 - 4 pm 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
First Name *
Last Name (Family Name) *
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 yes, which program? *
Title I Adult
Title I Dislocated Worker
Title 1 Youth
Title III Wagner-Peyser
Title IV Vocational Rehabilitation
None
Name of Emergency Contact: *
Last (Family Name) First
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 class the entire session (July 1st - August 19th)? *
Yes
No
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. I understand 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).
Do you agree to the statement above? *
Yes
I certify that I am not currently enrolled in high school (or homeschool). *
I am NOT in high school (or homeschool).
I am in high school (or homeschool).
I certify that I do not hold an F1 Visa. *
I do NOT have an F1 Visa.
I do have an F1 Visa.
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)