Student Goals Update

"*" indicates required fields

Hidden
MM slash DD slash YYYY
Hidden
Hidden
How do you prefer to be contacted?
Select all that apply.
Name*
Address*
Date of Birth*
Gender:*
Hidden
Did you have an Individualized Education Plan (IEP) or 504 Plan while attending school?
Hidden
Name of Emergency Contact
Hidden
Goal Areas - I would like to:*
Check all that apply.
Hidden
Student Barriers
Hidden
Employment Status:
Hidden

Learner Agreement

I agree that the above goal areas are those I choose to work on at this time. I understand that for successful completion of these goals I will need to attend class 6 hours per week, complete my assignments, ask for help when I need it, and make a genuine effort to learn. If changes need to be made in my learning plan, my instructor and I will make a new agreement.
Please type your full name. Your electronic signature serves as your agreement to the above Learner Agreement.
MM slash DD slash YYYY
Hidden

Instructor Agreement

As the instructor, I will do everything possible to help the learner achieve the above goals by providing appropriate instruction and by reviewing the learner's progress at regular intervals. I understand that if changes need to be made in the learning plan, the learner and I will make a new agreement.
Hidden
Hidden
MM slash DD slash YYYY
Hidden
Hidden
MM slash DD slash YYYY
 
Scroll to Top