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Thank you for choosing Eastland-Fairfield Adult Workforce Development.  We hope your class proves beneficial and helps you in your new career choice.  Please be sure to enter all required information and remember to press the "Submit" button at the bottom of the page when finished.

 

 

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E-mail Preference*
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Receive course related info via e-mail?
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Primary Address
 
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Secondary Address
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Additional phone
 
 
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Birthdate*

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Gender
Female
Male
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How you heard about us*
Senior
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Are you 62 years of age or older?
Economically Disadvantaged *

SNAP, PELL, WIA, or other grants
Single Parent*

Are you the sole or major care provider for your children?
Disabled*
Social Security Number*

SSN
Highest Level of Formal Education?*
Displaced Homemaker *

Are you returning to school due to life changes?
Limited English Proficiency*
Ethnicity*
Range of Adjusted Gross Income (AGI) reported on FAFSA*

What is the range of the Student or Student+Parent income reported on the FAFSA
Non-Traditional Training & Employment*
No Yes
Are you an uncharacteristic student for this program? e.g. Female in Police
Ethnicity
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