Please fill out the High School Equivalency Test (HiSET) Application form below: Today's Date *First Name *Middle Name *Last Name *Home/Mobile Phone *Emergency Phone *Mailing Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryEmail *Date of Birth *mm/dd/yyJunior High (Middle) School Attended *High School Attended *City of High School *Grade Last Completed *Date of Last Day *mm/dd/yyParent or Legal Guardian's Name * First Last Are you the Head of Household? *YesNoDo you have a job? *YesNoIs there anything that will prevent you from going to class everyday? *If yes, please explainNo Yes (Please explain): Tell us something about yourself *Your essay should at least include your reason for wanting to earn a High School Equivalency Test (HiSET) and pre-employment skills training diploma and your short-term and long-term goals. It can also include other interesting things about you. You should write at least 50 words.Minimum words allowed: 50. Total words: 0Although we can not promise to give you your choice, we would like to know if you prefer morning or afternoon classes. *MorningAfternoonThank You Thank you for filling out this application. We will call you soon and ask you to come in for an interview. Be prepared to ask us a lot of questions. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank For More Information ContactMel Hidalgo, HiSET Instructor (508) 754-1176 x181 *protected email*Imalay Holguin-Guzman, JEC Career Navigator (508) 754-1176 x215 *protected email*