GED Prep Course Intake Form
Southeastern Illinois College-Harrisburg, IL
Street Address Line 2
State / Province
Postal / Zip Code
What subject is your favorite? (Math, Reading, Science, Social Studies, Writing)
What subject is your least favorite? (Math, Reading, Science, Social Studies, Writing)
Do you have a computer at home?
Do you have access to wifi or hotspot? Please note* You will not be able to sign up for zoom classes if you do not have access to wifi or hotspot.
Pick a class format you are interested in. (Choosing one does not guarantee there will be availability in that class)
Carmi Campus-In Person (M-W 3:30pm-6:30pm)
Carrier Mills Elementary School-In Person (T-TH 4pm-6pm)
Zoom-Fully Online (T-TH 6:00pm-7:30pm)
Hybrid-Zoom/In Person (M,T 5:30pm-7:00pm Wed 5:30pm-7:30-m SIC Campus
Have you completed any modules from the GED test already? If no, choose NO. If yes, select the modules you have completed.
Should be Empty: