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Coachella Valley Adult School

jereme.weischedel@cvusd.us

1099 Orchard Ave, Coachella, CA, 92236, US

760-398-6302

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Coachella Valley Adult School Registration Form

Hi there!! To enroll in Coachella Valley Adult School please answer the following questions . Feel free to give us a call 760-398-6302 if you need assistance. Thank you and have a great day!!

Full Name

Full Address

What class would you like to enroll in?

Would you prefer morning or evening classes?

What school district did you last attend school in?

Date of Birth

Gender

Marital Status

Are you pregnant or have children under 18?

Does your child receive free or reduced cost lunch

Employment Status

Do you have education from outside the USA?

Please indicate your highest level of education.

Ethnicity

Race

Please indicate you primary goal for attending Coachella Valley Adult School

Please indicate you secondary goal for attending Coachella Valley Adult School

Please indicate you personal status below

Have you lost employment due to the COVID-19 Pandemic

How did you hear about Coachella Valley Adult School

Upload High School Transcript (optional)

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