AEL Interest Form

Program Interest

Have you ever attended, applied to, or participated in any training at Grayson College (including Kids College, employer-sponsored training, or GED/ESOL)?

YesNo

Program of Study

Applicant Details

First Name

Middle Name

Last Name

Suffix

Preferred Name

Former Last Name

Date of Birth

Please format MM/DD/YYYY

Sex

Are you Hispanic or Latinx?

YesNo

Select all that apply

Hold the Control key on Windows or Command key on Mac to select multiple options

Mobile Phone Number

Other Phone Number

Preferred Phone

Do you consent to receive text messages from Grayson College?
Data rates may apply.

Yes, I would like to receive text messages.No, I do not wish to receive text messages.

Personal Email Address

Alternate Email Address

Preferred Email

Have you served or are you currently serving in the U.S. military?

YesNo

Thank you for your service! Which branch of service did you serve in?

Mailing Address

Mailing Country

Mailing Address

Example: 123 Main St Apt 4B

Mailing City

Mailing State

If international address, select "International"

Mailing ZIP Code

Mailing Postal Code

Mailing County

The information provided is complete and correct to the best of my knowledge. I

agree to abide by Adult Education Program policies, rules, and regulations. I

further understand the submission of false information is grounds for rejection of

my application, withdrawal of acceptance, and cancellation of enrollment. My

signature below shall constitute acknowledgement to statistical use of my records

of enrollment, progress, credential obtainment, and transition to postsecondary

enrollment or employment. My signature below also authorizes use of my

personally identifiable information (PII), including my employment and wage

information pre-, during, and post-enrollment for audit, study, and evaluation of the

Adult Education and Literacy (AEL) program performance and other state- and

federally funded programs.

Such programs may include but are not limited to those under the laws

administered by the Texas Education Agency and the Texas Higher Education

Coordinating Board.

I acknowledge that the AEL program and Texas Workforce Commission (TWC)

may release PII to other local, state, or federal partners and/or stakeholders for

verification of state and federal program requirements, performance reporting,

audit, evaluation, study, and to monitor program performance.

Participants who are 17 and 18 years of age must have written parental

permission or qualify for another exemption from compulsory attendance law.

Additional information may be found at: TWC Website Privacy & Security

Information.

I Acknowledge,

Type your name

Guardian Name