HiSET and Pre-Employment Skills Training - Worcester Community Action Council

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 CodeCountry
Email *
Date of Birth *mm/dd/yy
Junior High (Middle) School Attended *
High School Attended *
City of High School *
Grade Last Completed *
Date of Last Day *mm/dd/yy
Parent or Legal Guardian's Name * First Last
Are you the Head of Household? *
YesNo
Do you have a job? *
YesNo
Is 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: 0
Although we can not promise to give you your choice, we would like to know if you prefer morning or afternoon classes. *
MorningAfternoon
Thank 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.

For More Information Contact

Mel Hidalgo, HiSET Instructor
(508) 754-1176 x181

Imalay Holguin-Guzman, JEC Career Navigator
(508) 754-1176 x215

High School Equivalency Test Application