EmailMeForm
Registration Form
Today's Date
*
MM
/
DD
/
YYYY
Legal Name
*
First
Last
The name you prefer to be called.
*
Are you an ESL Student?
*
Yes
No
You were not born in the United States, and English is not your native language.
Birthdate
*
MM
/
DD
/
YYYY
You must be at least 17 years old to register. If you have questions regarding this policy, please call 636-481-3437.
Gender ID
*
Please select
Male
Female
Other
What is your highest level of education completed?
*
Please select
No Schooling
Grades 1-5
Grades 6-8
Grades 9-12(no diploma)
Secondary School
Diploma or Alternate Credential
Secondary School Equivalent
Some post-secondary education, no degree
Post-secondary or professional degree
Unknown
Example: I dropped out in the 10th grade, so I completed 9th grade.
Was your schooling in the United States?
*
Yes
No
Employment Status
*
Please select one
Employed - you have a job right now
Unemployed - you don't have a job, but would like one some day
Not in labor force - you don't have a job and don't expect to get one because you are retired or disabled
Employed with Separation Notice - your job is ending soon
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Phone
*
###
-
###
-
####
Alternate Phone
###
-
###
-
####
Email
*
Confirm your email
Registration ID
Please choose your preferred time to attend classes. This is your first choice.
*
Mornings
Afternoons
Evenings
Choose only one option on this question.
Please choose next best time to attend classes. If your first choice class is full, we will have to place you in a different class time.
*
Mornings
Afternoons
Evenings
Choose only one option on this question.
Have you started or completed any section of the High School Equivalency Exam? (HiSET or GED)
*
Please select
Yes
No
Not sure
I was part of MO Options in school
