Underage Youth Application for Program Enrollment and Permission to Take the GED® Test (Mandatory for all 16 and 17-year-olds) Enrollment Application State-approved Adult Education Programs APPLICANT NAME (Last, First, Middle/Former): PLEASE PRINT DATE OF BIRTH: AGE: SOCIAL SECURITY or ID Number: MAILING ADDRESS: PHONE # (include area code): GENDER: Male Female ADMISSION CATEGORY (please check one): Parent/Guardian Permission Marriage Legal Emancipation Court Order/Adjudication Special Program NAME & LOCATION OF LAST SCHOOL ATTENDED: DATE LAST ATTENDED: Describe reason for requesting admission to a state-approved adult education program and/or permission to take the GED® Test (attach additional sheet(s), if necessary): DATE: APPLICANT’S SIGNATURE: Parent/Guardian Permission to Enroll/Take the GED® Test (Applicable to Admission Category of Parent/Guardian Permission Only) Signature of parent/guardian must be completed in the presence of a witness. I certify that I am the parent/legal guardian of the applicant above and I give him/her permission to enroll in a state-approved adult education program and take the GED® Test. PARENT/GUARDIAN NAME: SIGNATURE OF PARENT/GUARDIAN: DATE: PLEASE PRINT I, the witness, affirm that the signature of the parent/guardian has been written in my presence. I agree that the Technical College System of Georgia may contact me in reference to the validity of the parent/guardian signature. WITNESS NAME: SIGNATURE OF WITNESS: DATE: PLEASE PRINT ADDRESS OF WITNESS: TITLE/POSITION OF WITNESS: PHONE #: Adult Education Program Enrollment Approval
Underage Youth Application for Program Enrollment and Permission to Take the GED® Test (Mandatory for all 16 and 17-year-olds) Enrollment Application State-approved Adult Education Programs APPLICANT NAME (Last, First, Middle/Former): PLEASE PRINT DATE OF BIRTH: AGE: SOCIAL SECURITY or ID Number: MAILING ADDRESS: PHONE # (include area code): GENDER: Male Female ADMISSION CATEGORY (please check one): Parent/Guardian Permission Marriage Legal Emancipation Court Order/Adjudication Special Program NAME & LOCATION OF LAST SCHOOL ATTENDED: DATE LAST ATTENDED: Describe reason for requesting admission to a state-approved adult education program and/or permission to take the GED® Test (attach additional sheet(s), if necessary): APPLICANT’S SIGNATURE: DATE: Parent/Guardian Permission to Enroll/Take the GED® Test (Applicable to Admission Category of Parent/Guardian Permission Only) Signature of parent/guardian must be completed in the presence of a witness. I certify that I am the parent/legal guardian of the applicant above and I give him/her permission to enroll in a state-approved adult education program and take the GED® Test. PARENT/GUARDIAN NAME: PLEASE PRINT SIGNATURE OF PARENT/GUARDIAN: DATE: I, the witness, affirm that the signature of the parent/guardian has been written in my presence. I agree that the Technical College System of Georgia may contact me in reference to the validity of the parent/guardian signature. WITNESS NAME: PLEASE PRINT SIGNATURE OF WITNESS: DATE: ADDRESS OF WITNESS: TITLE/POSITION OF WITNESS: PHONE #: Adult Education Program Enrollment Approval