Name: Test Event 4
Start: 2023-04-29T08:00:00-04:00
End: 2023-04-29T17:00:00-04:00

Please choose your preferred location below to view available start dates

Mansfield Adult Education W. 5th (Monday, Tuesday, Wednesday, and Thursday 9 AM-1 PM)
Madison Adult Career Center (Tuesday and Wednesday 4-8 PM)
Bucyrus - NCSC Crawford Success Center (Tuesday and Thursday 9 AM-1 PM)
Ashland Kroc Center (Tuesday and Wednesday 5-8 PM)
Online/Virtual (Monday, Tuesday, Thursday, and Friday from 9 AM-1 PM)
Spanish Immersion(Monday and Wednesday from 5-7PM)

Preferred Start Date at Mansfield Adult Education W. 5th *

Preferred Start Date at Madison Adult Career Center *

Preferred Start Date at Bucyrus - NCSC Crawford Success Center *

Preferred Start Date at Ashland Kroc Center *

Registration for Online/Virtual classes must be completed at least one week prior to the Preferred Start Date. Please check your calendar then click yes to select a date. After submitting this form you will receive an email containing more information about completing registration.

Yes

Preferred Start Date for Online Classes *

Are you 19 years of age or older?

Date of Birth *

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Contact Phone Number: * *

Can you receive text messages at this phone number?

Yes
No

Email *

(e-mail confirmation will be sent after you complete sign up)

How did you find out about our program?

Participation in Online/Virtual Classes requires a computer with working webcam. Do you have access to the required technology? *

Yes
No

Participation in Online/Virtual Classes requires internet access. Do you currently have internet access with adequate speed?

Yes
No

Enroll Now