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Create New Student Profile

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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Username: minimum 6 characters
Password: minimum 8 characters, must contain a number and any two of the following three: upper case, lower case, special characters (for example: (){}!@$%^&*)
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Mail preference
May we include you on our mailing lists?
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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*

mm/dd/yyyy
Gender
Female
Male
None Specified
How you heard about us*
Senior
Yes No
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