Adult Education Application

ESOL Summer Classes July 2 - 25. Register today!

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Have you taken a class with Shoreline Adult Education before?: *

Yes

No

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Personal Info:

First Name: *	Last Name: *
Home Address: *	City: *
Zip: *	Cell Phone: *
Email: *	Confirm Email: *
What is your native language? *

Are you working with someone from the American Job Center? *
Yes	No

Do you have any children? *
Yes	No

	Age	School	Grade
Child 1		Branford High School Walsh Intermediate School Mary T. Murphy Elementary School John B. Sliney Elementary School Mary R. Tisko Elementary School The Morgan School Jared Eliot Middle School Lewin Joel Elementary School Guilford High School Elisabeth Adams Middle School A.W. Cox Elementary School Calvin Leete Elementary School Guilford Lakes Elementary School Melissa Jones Elementary School North Branford High School North Branford Intermediate School Jerome Harrison Elementary School Totoket Valley Elementary School My child's school is not on the list
Child 2		Branford High School Walsh Intermediate School Mary T. Murphy Elementary School John B. Sliney Elementary School Mary R. Tisko Elementary School The Morgan School Jared Eliot Middle School Lewin Joel Elementary School Guilford High School Elisabeth Adams Middle School A.W. Cox Elementary School Calvin Leete Elementary School Guilford Lakes Elementary School Melissa Jones Elementary School North Branford High School North Branford Intermediate School Jerome Harrison Elementary School Totoket Valley Elementary School My child's school is not on the list
Child 3		Branford High School Walsh Intermediate School Mary T. Murphy Elementary School John B. Sliney Elementary School Mary R. Tisko Elementary School The Morgan School Jared Eliot Middle School Lewin Joel Elementary School Guilford High School Elisabeth Adams Middle School A.W. Cox Elementary School Calvin Leete Elementary School Guilford Lakes Elementary School Melissa Jones Elementary School North Branford High School North Branford Intermediate School Jerome Harrison Elementary School Totoket Valley Elementary School My child's school is not on the list
Child 4		Branford High School Walsh Intermediate School Mary T. Murphy Elementary School John B. Sliney Elementary School Mary R. Tisko Elementary School The Morgan School Jared Eliot Middle School Lewin Joel Elementary School Guilford High School Elisabeth Adams Middle School A.W. Cox Elementary School Calvin Leete Elementary School Guilford Lakes Elementary School Melissa Jones Elementary School North Branford High School North Branford Intermediate School Jerome Harrison Elementary School Totoket Valley Elementary School My child's school is not on the list
Child 5		Branford High School Walsh Intermediate School Mary T. Murphy Elementary School John B. Sliney Elementary School Mary R. Tisko Elementary School The Morgan School Jared Eliot Middle School Lewin Joel Elementary School Guilford High School Elisabeth Adams Middle School A.W. Cox Elementary School Calvin Leete Elementary School Guilford Lakes Elementary School Melissa Jones Elementary School North Branford High School North Branford Intermediate School Jerome Harrison Elementary School Totoket Valley Elementary School My child's school is not on the list
Child 6		Branford High School Walsh Intermediate School Mary T. Murphy Elementary School John B. Sliney Elementary School Mary R. Tisko Elementary School The Morgan School Jared Eliot Middle School Lewin Joel Elementary School Guilford High School Elisabeth Adams Middle School A.W. Cox Elementary School Calvin Leete Elementary School Guilford Lakes Elementary School Melissa Jones Elementary School North Branford High School North Branford Intermediate School Jerome Harrison Elementary School Totoket Valley Elementary School My child's school is not on the list
Child 7		Branford High School Walsh Intermediate School Mary T. Murphy Elementary School John B. Sliney Elementary School Mary R. Tisko Elementary School The Morgan School Jared Eliot Middle School Lewin Joel Elementary School Guilford High School Elisabeth Adams Middle School A.W. Cox Elementary School Calvin Leete Elementary School Guilford Lakes Elementary School Melissa Jones Elementary School North Branford High School North Branford Intermediate School Jerome Harrison Elementary School Totoket Valley Elementary School My child's school is not on the list
Child 8		Branford High School Walsh Intermediate School Mary T. Murphy Elementary School John B. Sliney Elementary School Mary R. Tisko Elementary School The Morgan School Jared Eliot Middle School Lewin Joel Elementary School Guilford High School Elisabeth Adams Middle School A.W. Cox Elementary School Calvin Leete Elementary School Guilford Lakes Elementary School Melissa Jones Elementary School North Branford High School North Branford Intermediate School Jerome Harrison Elementary School Totoket Valley Elementary School My child's school is not on the list
Child 9		Branford High School Walsh Intermediate School Mary T. Murphy Elementary School John B. Sliney Elementary School Mary R. Tisko Elementary School The Morgan School Jared Eliot Middle School Lewin Joel Elementary School Guilford High School Elisabeth Adams Middle School A.W. Cox Elementary School Calvin Leete Elementary School Guilford Lakes Elementary School Melissa Jones Elementary School North Branford High School North Branford Intermediate School Jerome Harrison Elementary School Totoket Valley Elementary School My child's school is not on the list
Child 10		Branford High School Walsh Intermediate School Mary T. Murphy Elementary School John B. Sliney Elementary School Mary R. Tisko Elementary School The Morgan School Jared Eliot Middle School Lewin Joel Elementary School Guilford High School Elisabeth Adams Middle School A.W. Cox Elementary School Calvin Leete Elementary School Guilford Lakes Elementary School Melissa Jones Elementary School North Branford High School North Branford Intermediate School Jerome Harrison Elementary School Totoket Valley Elementary School My child's school is not on the list

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Select course you want to take: *

ESOL (English for Speakers of Other Languages) Daytime classes Evening classes	Adult High School Diploma/GED®
ESOL for Families Weekday Mornings Saturday Mornings	GED® Test Registration Only
Citizenship Preparation (PM only)	Spanish GED®

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How did you hear about us? *

Friends or Family

Social Media

• Facebook
• Instagram
• Twitter

Internet Search

School

Shoreline Adult Education Catalog/Mailer

Library

Digital Ads

Church

Flyer

Newspaper

• The Sound
• The Guilford Courier
• The Harbor News
• The Source
• Totoket Times

Department of Motor Vehicles (DMV)

• Hamden
• Old Saybrook

Other

Patch.com