jereme.weischedel@cvusd.us
1099 Orchard Ave, Coachella, CA, 92236, US
760-398-6302
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Coachella Valley Adult School Registration Form
2022-2023
Full Name
Full Address
What class would you like to enroll in?
If you are enrolling in GED/ HiSet Preparation, please select the language preferred.
If you are enrolling in English classes (ESL), please select a Level.
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
Please select all the devices you have access to at home.
Do you have access to Wi-Fi Internet at home?
What type of class are you most interested in?
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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