High school/GED program

1. Student Last, First Name:(Required)

Date:(Required)

2. Address:(Required)

Phone:(Required)

4. CITY(Required)

State(Required)

Country(Required)

5. Are you a US citizen?

5. Are you a US citizen?(Required)

Yes

6. Are you a permanent Resident?

6. Are you a permanent Resident?(Required)

Yes

7. Are you authorized to work in the United States?

7. Are you authorized to work in the United States?(Required)

Yes

If yes, question #7, What is your status.(Required)

8. What is the high grade you completed?(Required)

9. When it comes to schoolwork where can you rate yourself as?(Required)

a. Excellent / A Student

b. Above average B Student

c. Average C Student

d. Below average D Student

10. What are your short-term goals:(Required)

11. What are your long-term goals:(Required)

12. In your own words Please explain why it becomes a necessity for you to seek a high school Diploma?(Required)

11. Most people in the United States can complete their high school education before they turn eighteen years old. Please provide three reasons which prevented you from completing your high school.(Required)

12. If you are seeking for a high school diploma it may be require providing previous school records, however, in the absent of school record you may be entailed to write a letter in English explaining why you was unable to get your previous school records. Knowing this information, are you still interested in pursuing your high school Diploma.

Please indicate your interest by marking one of the options below and providing your initials:(Required)

Yes

13.BDUSA In Pennsylvania will connect you with a home school program located in the state of Texas. In most cases This program may be questionable by some public collages / University however students who attend private Collage or University have not experiences any complications. Knowing all this information, are you still interested in pursuing this Program if so:

Please indicate your interest by marking one of the options below and providing your initials:(Required)

Yes

14. Through our relationship with other organizations BDUSA In Pennsylvania will collect a money order of $ 400.00 on behalf of Texas High school and will follow up with school and student until said student is able to secure his/her certification. If you are agreed,

Please indicate your interest by marking one of the options below and providing your initials:(Required)

Yes

DISCLAIMER: BY SIGNING BELOW, YOU AGREE TO THE TERMS AND CONDITIONS OF THIS APPLICATION, WHICH IS ONE OF THE REQUIREMENTS TO BE ADMITTED INTO THE PROGRAM. In ADDITION, YOU MAY BE REQUIRE PROVIDING CERTIFICATE, TRANSCRIPTS, COLOR COPIES OF YOUR DOCUMENTS, AND ANY OTHER RELEVANT INFORMATION PERTAIN TO THE PROGRAM

Student Name:(Required)

Date:(Required)

Signature(Required)

Phone(Required)

BDUSA in PA Agency Rep:(Required)

Date(Required)

Signature(Required)

Phone(Required)

BDUSA IN PENNSYLVANIA HIGH SCHOOL / GED PROGRAM APPLICATION

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