Student Interest Form

Are you 19 years of age or older?

Yes (Continue Form)

No (Enroll in Person Only)

Name:

Address:

Phone:

Alternate Phone:

Email:

Interested in

GED

ESOL

I would like to attend

Morning Classes

Evening Classes

Online Classes

Part of the application process is a brief interview. We will call you using the phone number(s) you have provided when we are ready to set up your interview. If you are unavailable to speak with us we will leave you a voicemail. Please verify that the number you are providing us with is set up with a voicemail box. If we leave you a voicemail, please return our call.

What are the best days and times for a member of our staff to contact you?:

By submitting this form I hereby give my consent to the Odessa College Transitional Learning Center to enter all my information into the Texas Educating Adults Management System (TEAMS). TEAMS is the data management system for federally- funded Adult Education and Literacy (AEL).

By submitting the Submit Box, I agree to the above.