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Contact Us
Adult Education ENROLLMENT FORM
Name
(Required)
First Name
Last (All) Name(s)
Phone Number
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
Are you able to receive text messages from CCEOK?
(Required)
Yes
No
Email
(Required)
Which classes would you like to enroll this year? Check all choices.
(Required)
English as a Second Language (all locations)
HiSET (GED) in English (Tulsa)
HiSET (GED) in Spanish (Muskogee/Tulsa)
Basic Computer in Spanish (Tulsa)
Spanish Literacy (Tulsa)
Where would you like to take your classes? Check choice(s).
(Required)
Tulsa main campus
St. Pius X School - Tulsa
Broken Arrow (MOC)
Muskogee
When are you able to attend classes?
(Required)
Mornings
Evenings
Race or Ethnicity. Check all that apply.
(Required)
Latinx
Asian
Black
White
Native Hawaiian or Other Pacific Islander
Native America or Native Alaskan
I prefer not to answer
Which of the HiSET tests have you passed?
(Required)
Reading
Writing
Science
Social Studies
Math
None, but I have registered on hiset.org
None, and I have NOT registered on hiset.org
I'm not sure
I'm only interested in ESL Classes
When are you available to come to the Tulsa Campus for the mandatory ESL diagnostic test?
Monday, August 4 at 9am (for am classes only)
Monday, August 4 at 10am (for am classes only)
Monday, August 4 at 5pm (for pm classes only)
Monday, August 4 at 6pm (for pm classes only)
Wednesday, August 6 at 9am (for am classes only)
Wednesday, August 6 at 10am (for am classes only)
Wednesday, August 6 at 5pm (for pm classes only)
Wednesday, August 6 at 6pm (for pm classes only)
I cannot make any of these times
You will not be eligible for enrollment in classes until your diagnostic test is completed. Please select a time that you are available to come in and complete the ESL diagnostics. The test will take approximately 30 minutes to complete.
When are you available to come to MOC for the mandatory ESL diagnostic test?
Tuesday, August 11 at 9:30am
Wednesday, August 12 at 6:30pm
Thursday, August 13 at 6:30pm
I cannot make any of these times
You will not be eligible for enrollment in classes until your diagnostic test is completed. Please select a time that you are available to come in and complete the ESL diagnostics. The test will take approximately 30 minutes to complete.
When are you available to come to the Tulsa Campus for the mandatory HiSET diagnostic test?
Tuesday, August 5 at 9am
Tuesday, August 5 at 4pm
Thursday, August 7 at 9am
Thursday, August 7 at 4pm
I cannot make any of these times
You will not be eligible for enrollment in classes until your diagnostic test is completed. Please select a time that you are available to come in and complete the HiSET diagnostics. There are five subject area tests which will take up to 4 hours to complete.
When are you available to come to the Tulsa Campus for the mandatory HiSET diagnostic test?
Tuesday, August 5 at 9am
Tuesday, August 5 at 4pm
Thursday, August 7 at 9am
Thursday, August 7 at 4pm
I cannot make any of these times
You will not be eligible for enrollment in classes until your diagnostic test is completed. Please select a time that you are available to come in and complete the HiSET diagnostics. There are five subject area tests which will take up to 4 hours to complete.
When are you available to come to the Muskogee Campus for the mandatory ESL and/or HiSET diagnostic test?
Monday, August 18 at 6:30pm
I cannot make any of this time
You will not be eligible for enrollment in classes until your diagnostic test is completed. Please select a time that you are available to come in and complete the diagnostics.
Photo/Audio/Video Release
(Required)
Yes
No
Catholic Charities of Eastern Oklahoma (CCEOK) often uses photographs, videos and/or audio in its printed and online publications, including newsletters, brochures, displays, newspaper articles, social media and websites. As a client/volunteer of CCEOK, your image or sound bite may be taken during various activities and may be selected for use in any of our publications. The image/sound bite will be used only to promote and positively recognize CCEOK programs. Catholic Charities of Eastern Oklahoma retains all rights to the photographs, videos and audio recordings. Therefore, we would like to obtain your consent to use any images taken of you for this purpose. I give my permission for my photo, video or audio files to be used in any Catholic Charities of Eastern Oklahoma publications, and I agree to the above terms and conditions.
Information Consent
(Required)
I agree to the privacy policy.
By submitting this form, I give permission to the Adult Education program of Catholic Charities of Eastern Oklahoma to share the results of my evaluations and other data as long as my personal information remains anonymous.
Phone
This field is for validation purposes and should be left unchanged.
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