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Student Application

Become a Student

Here is the process for applicants who are 18 and older:

  • Prospective students complete and submit an application to The Literacy Alliance.
  • Once completed applications are received, The Literacy Alliance contacts the applicants to schedule an orientation. The 3-hour orientations happen every week. Prospective students should arrive 10 minutes early.

At orientation, prospective students learn about the program, have all their questions answered, complete new student paperwork, take a skills assessment, and get placed in a class based on their assessment results.

Students are expected to attend all hours of all classes in which they are placed.

We cannot serve students under 16. For applicants 16 or 17, a signed copy of the official exit interview form from the school corporation is also required.

Student Application

Student Application

You must fill out this application completely. Skipping any part of the intake process will result in this application being shredded and you will be required to restart the process from the beginning.
What program are you interested in
Are you 18 or older
Gender
Name
Name
First
Last
It is important that you provide a valid email as you will receive an email upon completion of this application that will instruct you on next steps.
Phone Type
Text Messages

By clicking Opt-in, you agree to receive periodic text messages from this organization to the cell phone number provided. Message and data rates may apply—text HELP for more information. Text STOP to stop receiving messages. Terms and Conditions/Privacy Policy

Self-assessment (choose only one option):
Class Preference
Address
Address
City
State/Province
Zip/Postal
What is your long-term goal?
Ethnicity
Are you hispanic?
Are you a U.S. citizen?
Employment Status
What is your annual household income?
Is your employer requiring you to get your HSE diploma or improve your English?
Are you a returning Literacy Alliance student?
How did you hear about The Literacy Alliance?
Are you on probation
Were you referred by the court?
Were you referred by a social service organization, group home or shelter?
Please check all that apply:
Check your highest level of education
Last school location
Migrant/seasonal farm worker?
Active Military?
Vocational rehabilitation?
Wagner-Peyser employment (enrolled with WorkOne)?
Ex-offender
Cultural barriers to employment?
Were you referred by a current/past student?

Emergency Contact (someone other than yourself)

Name
Name
First
Last

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