Adult Education Form GED Voucher Only(Required) Yes No Please complete this form if you need a GED testing voucher and do not wish to enroll in GED classes. This voucher allows you to schedule a free test. This form is separate from the GED class enrollment form. GED & HighSet VouchersFull Name for Voucher Info(Required)Date of Birth(Required) MM slash DD slash YYYY Please select each test for a voucher:(Required) GED HighSet Required Contact InformationProgram Locations(Required) Attala Center / Kosciusko Ridgeland Day Ridgeland Night Yazoo City Teen Center Name(Required) First Middle Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Email(Required) Enter Email Confirm Email Phone(Required)Alternate Phone(Required)Date of Birth(Required) MM slash DD slash YYYY We will need a withdrawal form from your current high schoolEducation Level Completed(Required)1st2nd3rd4th5th6th7th8th9th10th11thPlease select the highest grade completedCurrent school or last school attended?(Required)Anticipated Entry Month(Required)AugustJanuaryIs there anything else you'd like us to know?Specific questions, special accommodations, etc.
