Register | Employment Skills Center

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Date of Birth*

Program Interest*

*Select no more than TWO programs

Highest Grade Completed*

Attended/Did not complete grade 12
High School Diploma
High School Equivalency Diploma (GED)
Some Postsecondary (College) Education, no degree
Postsecondary (College) Education Degree
No Schooling

Last Pennsylvania Public School Attended*

*Type NA if you did not attend school in Pennsylvania

Employment Status*

When are you available?*

Daytime
Evening (Online GED class & tutors only)
Both

Do you have internet access at home?*

Please select only one.

Yes
No

What type of device would you use for online learning at home?*

How did you learn about Employment Skills Center?*

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Once your online form is submitted, you can expect to receive a response within 2-3 business days. Please check your email, including junk mail folder, for instructions.