GED Program Registration

Please fill out this form as best you can so we can provide you with the most relevant service. Please use one form per student.

Parent/Guardian First name

Parent/Guardian Last name

Address

Phone Number

Student First and Last Name

Student's Date of Birth

Student's Social Security Number (SSN)

Student's Grade Level

Parent/Guardian or Personal (if 18+) Driver's License Upload

Upload your file

Choose a file or drag and drop one here.

Previous Report Cards and/or grades

Upload your file

Choose a file or drag and drop one here.

I give Excelling All-Stars Academy permission to obtain my educational records to include: test scores, current and past grades, written evaluations, and IEP/Section 504 Plans.

I am using a Step-Up Account

Yes

I am paying cash.

Yes

Your Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

GED Program Registration

Please fill out this form as best you can so we can provide you with the most relevant service. Please use one form per student.

Parent/Guardian First name

Parent/Guardian Last name

Address

Phone Number

Student First and Last Name

Student's Date of Birth

Student's Social Security Number (SSN)

Student's Grade Level

Parent/Guardian or Personal (if 18+) Driver's License Upload

Upload your file

Choose a file or drag and drop one here.

Previous Report Cards and/or grades

Upload your file

Choose a file or drag and drop one here.

I give Excelling All-Stars Academy permission to obtain my educational records to include: test scores, current and past grades, written evaluations, and IEP/Section 504 Plans.

I am using a Step-Up Account

Yes

I am paying cash.

Yes

Your Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.