EmailMe Form - Summer 2023 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 July 10, 2023 and run through August 17, 2023. All students are required to have a current placement test on file prior to beginning classes. Testing will be done in-person at the Community Learning Center; 13157 N. Olive Spur Road by appointment only. 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 Visas 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 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, 63141
Mon - Wed; 6 - 9 pm at the Community Learning Center; 13157 North Olive Spur Rd, Creve Coeur, 63141
Mon - Thurs; 9 am - noon; virtual/online (Advanced Students Only)
Mon - Wed; 6 - 9 pm; virtual/online (Advanced Students Only)
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
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, 63138 Note: This class is for youth ages 17 - 24.
Mon - Thurs; 9 am - noon at the Missouri Job Center; 715 Northwest Plaza Dr, St. Ann, 63074
Mon - Thurs; 1 - 4 pm at the Community Learning Center; 13157 North Olive Spur Rd, Creve Coeur, 63141
Mon - Wed; 6 - 9 pm at the Community Learning Center; 13157 North Olive Spur Rd, Creve Coeur, 63141
Name *
Last (Family Name) First
Social Security Number (no dashes)
Birth Date *
MM / DD / YYYY
Sex *
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 *

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:

	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)