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ERATE 470 RFP
Search for:
HOME
ABOUT
Accrediting Agencies
Board of Education
Career Tech System
Employment Opportunities
Faculty
Leadership Team
Partners In Education
Staff
SWTC NEWS
SWTC News Letters
Vision, Mission & Core Values
Public Disclosure Links
STUDENT SERVICES
Admission Procedures
Career Guidance
College Credit
CARES Act HEERF Disbursement Report
Educational Enhancement
Financial Aid
Student Billing and Payment Options
Pay Online
School Calendar
Student Policies and Consumer Information
Parent/Student Guide Distance Learning
COURSES
Full Time
Automotive Technology
Aviation Maintenance Technology
Biomedical Science
Business & Computer Technology
Construction
Cosmetology
Graphic Design
Health Science Technology
Metal Fabrication
Practical Nursing
Teacher Prep
Short Term
Adult Basic Education
Business & Office Courses
ED2GO
Healthcare Classes
Just 4 Fun
Create Your Own Class!
Motorcycle Safety
Safety Training
BUSINESS & INDUSTRY
BUSINESS DEVELOPMENT CENTER
Online Classes/ED2GO
Create Your Own Class!
SWTC Business Development Video
Facility Use
QUICK LINKS
School Calendar
Altus Chamber of Commerce
City of Altus
Safety Data Sheets
Personal Options With Employment Results (POWER)
Public Disclosure Links
DriverTestBooking
ERATE 470 RFP
HOME
ABOUT
Accrediting Agencies
Board of Education
Career Tech System
Employment Opportunities
Faculty
Leadership Team
Partners In Education
Staff
SWTC NEWS
SWTC News Letters
Vision, Mission & Core Values
Public Disclosure Links
STUDENT SERVICES
Admission Procedures
Career Guidance
College Credit
CARES Act HEERF Disbursement Report
Educational Enhancement
Financial Aid
Student Billing and Payment Options
Pay Online
School Calendar
Student Policies and Consumer Information
Parent/Student Guide Distance Learning
COURSES
Full Time
Automotive Technology
Aviation Maintenance Technology
Biomedical Science
Business & Computer Technology
Construction
Cosmetology
Graphic Design
Health Science Technology
Metal Fabrication
Practical Nursing
Teacher Prep
Short Term
Adult Basic Education
Business & Office Courses
ED2GO
Healthcare Classes
Just 4 Fun
Create Your Own Class!
Motorcycle Safety
Safety Training
BUSINESS & INDUSTRY
BUSINESS DEVELOPMENT CENTER
Online Classes/ED2GO
Create Your Own Class!
SWTC Business Development Video
Facility Use
QUICK LINKS
School Calendar
Altus Chamber of Commerce
City of Altus
Safety Data Sheets
Personal Options With Employment Results (POWER)
Public Disclosure Links
DriverTestBooking
ERATE 470 RFP
Search for:
Adult Basic Education Enrollment Form
admin
2020-06-24T14:23:52-05:00
Adult Basic Education Enrollment
Instructions
You will be contacted by a member of the Adult Basic Education team once the application is submitted.
Today's Date
Last Name
*
First Name
*
Middle Name
Program you wish to enroll.
Adult Basic Education
Practical Nursing Prep Course
Have you attended another Adult Basic Eduction class before?
Yes
No
If Yes, please give location.
Address
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Phone (Primary)
*
Phone (Alternate)
Age
*
Date of Birth
*
Gender
Male
Female
Prefer not to answer
Do you have a disability?
Yes
No
If yes, do you need accommodations?
Email
*
Last 4 of Social Security Number
Emergency Contact
Name
*
Relationship
*
Phone
*
Are you Hispanic/Latino?
Note: The above question is about ethnicity-not race, please only choose one.
No, not Hispanic/Latino
Yes, Hispanic/Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or Spanish culture or organ, regardless of race.)
What is your race?
(you may select one or more of the following.)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
Caucasian
Employment Status
*
Select one.
Employed Full-Time
Employed Part-Time
Unemployed and looking for work
Unavailable or not looking for work
Do any of the following apply to you?
DHS Client/Public Assistance
Homeless
State Corrections
County or Community Corrections
Living in an institutional setting
None apply to me
Which of these barriers to employment apply to you?
Cultural Barriers
Low Literacy Level
English Language Learner
Do any of these other barriers apply to you?
Check all that apply.
Single Parent or guardian
Disabled
Migrant Worker
Long-term Unemployment
Exhausting TANF with two years
Homeless
Displaced Homemaker
Economic Disadvantaged
Ex-offender
Foster Care Youth
Seasonal Farmworker
None of the Above
Highest degree or level of school completed
Please only check one
No schooling
Grades 1-5
Grades 6-8
Grades 9-12 (no diploma)
Grades 9-12 (high school diploma or alternate credential)
Some college, no degree
College or professional degree
Was your schooling U.S.-based or Non U.S.-based?
U.S. Based
Non U.S. based
Statement of Non-Discrimination
Southwest Technology Center does not discriminate on the basis of race, color, national origin, sex/gender, age, disability, or veteran status in admission to its programs, services, or activities, in access to them, in treatment of individuals, or in any aspect of their operations. Southwest Technology Center does not discriminate in its hiring or employment practices. This notice is provided as required by Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title IX of the Education Amendment of 1972, the Age Discrimination Act of 1975, and the Americans with Disabilities Act of 1990. Questions, complaints, or requests for additional information regarding these laws may be forwarded to Compliance Coordinators RaChel Crume and Kerry Evans 711 West Tamarack Road Altus, OK 73521 (580)477-2250 each weekday from 8:00 a.m. to noon and 1:00 p.m. to 4:00 p.m.
Verification
Please enter any two digits
*
Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:
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