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Home
About
Program Areas
Engage
Events | Workshop | Conference
Scholarships
Careers
Contact

Contact Support Team
Membership Application Form
Volunteer Assignment Form
Non-Disclosure Agreement
Start A Chapter
Family & Community Support

GED ELIGIBILIGY VERIFICATION

GED ELIGIBILITY VERIFICATION FORM

Date / Time *

Date

Time

Are you 18 years or older? *

YES
NO

Did you officially withdraw from high school? *

YES
NO
N/A

Student 18 years of age*: Must provide verification that student is not currently enrolled in school by submitting this completed form to the Maryland GED® Office; otherwise are not eligible to register for the GED® test

What year did you officially withdraw from high school? *

Enter date 00/00/0000 if you did not officially withdraw from high school

Did you receive home school instructions? *

YES
NO

IF THE STUDENT RECEIVED HOME INSTRUCTION, USE THE HOME INSTRUCTION VERIFICATION FORM FOUND ON THE GED® WEBSITE AT www.gogedgo.org .

Can you provide verification from last school placement that you qualify for an exception to the Compulsory Attendance Education Law.? *

YES
NO

If yes, please contact WEN administrator for further guidance.

Why do you want to obtain your GED? *

What is your current living situation? *

Shelter
Squatting with a friend
Squatting with family member(s)
Living with my parents
Other (explain below)

If Other, please explain below

Do you have any challenge(s) that is/are likely to stop you from taking the GED tests?? *

YES
NO

If YES, please explain here *

REFERRAL 1 (MENTOR): Please List a person #1 who is willing to support and hold you accountable to complete your GED goal. Name *

First

Last

Email *

Phone *

REFERRAL 1 (MENTOR): Please List a person #2 who is willing to support and hold you accountable to complete your GED goal. Name *

First

Last

Email *

Phone *

EMPLOYMENT – Are you currently employed? *

YES
NO

What is your role at work? *

At you satisfied with your employment? *

YES
NO

Are you willing to acquire additional skills in Information Technology? *

YES
NO

REFERRAL 1 (JOB): Please list a person not related to you who know about your employment history *

First

Last

Email *

Phone

I am a *

Male
Female

Are you a US Citizen? *

YES, I am a U.S. Citizen (U.S. National).
NO, No, but I am a permanent resident or other eligible noncitizen.
NO, I am not a citizen or eligible noncitizen.

What is your primary language spoken in your home? *

English
Spanish
Other

If language is OTHER, please specify *

BACKGROUND INFORMATION – Have you ever been convicted of a felony? (copy) *

YES
NO

If yes, How many conviction(s) do you have? *

What is the nature of offense(s) leading to conviction(s)? *

How recently was/were such offense(s) committed? *

Have you expunged any of the above offenses? *

YES
NO

If you are still facing court charges, are you willing for WEN to use its cCAMP-PDS to advocate for you to receive a lesser sentence or dismiss your case if possible? *

YES
NO
N/A

*if YES, we will discuss our cCAMP program with you.

PERSONAL INFORMATION *

First

Last

Your Email *

Your Phone Number *

About Us

World Ebony Network (WEN) is dedicated to reinforcing the enduring and noble philosophies, principles, practices (3Ps) of our fore fathers and appreciating the good aspects of other heritages. Our mission helps us to achieve our 3 part vision: to plead the socio-economic causes of people of African ancestry; to reconcile the estrange cultural relationships of people of African ancestry; and to appreciate the good aspects of other heritages.

Resource Links

Contact Support Team
Membership Application Form
Volunteer Assignment Form
Non-Disclosure Agreement
Start A Chapter
Family & Community Support

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