Forms • City of Rowlett • CivicEngage

First & Last Name*

Please enter a valid email address, this is how we will contact you. *

Phone Number

Do you live in the city of Rowlett?*

Yes

No

Do you work in the city of Rowlett?*

Yes

No

Are you able to commit to the 6-week course structure outlined on the GED website?*

Yes

No

Are you willing to take a pre-test and progress tests throughout the course of the program?*

Yes

No

What days of the week are you available for tutoring?*

	Monday
	Tuesday
	Wednesday

	Thursday
	Friday
	Saturday

What times are you available for tutoring?*

	Morning (9:30am - noon)
	Afternoon (Noon - 4pm)

Evening (4pm - 8:30pm)

Do you have an account with GED.com? (If not, we will create one for you)

Yes

No

Have you taken any pre-tests for the following subjects?*

	Reasoning Through Language Arts
	Social Studies
	Science

	Math
	None

Have you passed any of the official GED tests for the following subjects?*

	Reasoning Through Language Arts
	Social Studies
	Science

	Math
	None

Have you taken GED tutoring at Rowlett Public Library in the past?*

Yes

No

What was the last grade you attended?*

What was the last year you attended school?*

Indicate which subjects you need help with:*

	Reading
	Writing
	Essay

	Math
	Science
	Social Studies

Do you have a Rowlett Public Library card? (If no, you will be required to get one)*

Yes

No

Why do you want to receive your GED?*

Completion of this form does not solidify your enrollment in this program. The GED Coordinator, Christine Demand, will contact you with further information about this program. Please indicate your understanding of this step.*

Yes, I understand

* indicates required fields.

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