Adult Ed & ESL Interest Survey

Adult Ed & ESL | Interest Survey

Adult Education and English as a Second Language
FCC Adult Education has GED (High School diploma) and ESL (English) classes. We have classes throughout the year. Complete this form, and we will contact you with additional information for an orientation.

Please be patient. We currently have a waitlist for orientations and classes.

For assistance with the form, visit us Monday – Friday between 8:30 AM – 4:00 PM. Our office is in the Conference Center (Building E) room E102. You may call us at 240.629.7962.

Thank you. We look forward to meeting you!
Name*

First NameLast Name
Mobile Phone Number*

Area CodePhone Number
Additional Phone Number (Optional)

Area CodePhone Number
Email Address*
example@example.com
What is the ZIP code of your home address? *
example: 21701
What is your age?*
Adult Education (GED & Basic ESL) is for students age 18 and older.

If you have questions about Frederick County Public Schools, please call 301-696-6831. If you live outside Frederick County, browse the Internet for "high schools near me" to find a local school.
Do you live in Maryland?*

YesNo
Adult Education (GED & Basic ESL) is only for students who live in Maryland.

If you are interested in ESL, you MAY be able to participate in Targeted or Academic ESOL. Please email esl@frederick.edu to ask about enrollment. Due to high demand, ESL is prioritizing service to Frederick County residents. If you live in another county, please seek a program there - all Maryland counties have local programs.
Are you an au pair, or do you have a J-1 or an F-1 Visa?*

YesNo
J-1 and F-1 Visa holders are not eligible for Adult Education classes.

You may also have credit requirements which can only be met in other programs. You may be able to participate in Targeted or Academic ESOL. Please email esl@frederick.edu to ask about enrollment.
Please indicate your highest level of education. (this does NOT include English classes)*

I have not attended schoolUnited States Elementary SchoolUnited States Middle SchoolUnited States Some High School - but no high school diplomaUnited States High School GraduateUnited States Some College or UniversityUnited States College or University GraduateUnited States Graduate School (Advanced Degree)Not United States - Elementary SchoolNot United States - Middle SchoolNot United States - Some High School - but no high school diplomaNot United States - High School GraduateNot United States - Some College or UniversityNot United States - College or University GraduateNot United States - Graduate School (Advanced Degree)
I am a:*
What is your native language?*
Have you taken the Accuplacer placement tests at FCC?*

YesNo
What class format do you prefer? Note: your preferred format may not be available for all programs, levels, or schedules*

I prefer in-person classes on campus.I prefer online classes via Zoom.
What kind of classes are you interested in (check all that apply)*

English as a Second Language (ESL for English language learners)English for Careers: Healthcare or BusinessAdult Education (GED for high school completion)Other
If you need accommodations or special support to participate in orientation & classes, please describe your need(s) here so we can refer you to the right service.
Do you have a child under the age of 5 years old?*

Yes (you can answer yes if you are pregnant with your first baby)No
Thank you for your interest. If you have any questions, please feel free to contact us.

Adult Education and GED
frederick.edu/AdultEd • 240.629.7962 • AdultEd@frederick.edu

English as a Second Language (ESL)
frederick.edu/ESL • 240.629.7962 • ESL@frederick.edu.
Frederick Community College (FCC) prohibits discrimination against any person on the basis of age, ancestry, citizenship status, color, creed, ethnicity, gender identity and expression, genetic information, marital status, mental or physical disability, national origin, race, religious affiliation, sex, sexual orientation, or veteran status in its activities, admissions, educational programs, and employment. FCC makes every effort to accommodate individuals with disabilities for College-sponsored events and programs. If you have accommodation needs or questions, call 301-846-2408. To request a sign language interpreter, visit fcc-interpreting.genbook.com. If you have interpreting related questions, email Interpreting@frederick.edu. Sign language interpreters will not be automatically provided for College-sponsored events without a request for services. To guarantee accommodations, requests must be made at least five workdays in advance of a scheduled event. If your request pertains to accessible transportation for a College-sponsored trip, submit your request at least 21 calendar days in advance. Requests made less than 21 calendar days in advance may not be able to be guaranteed.
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Adult Ed & ESL | Interest Survey

Adult Education (GED & Basic ESL) is for students age 18 and older.

Adult Education (GED & Basic ESL) is only for students who live in Maryland.

J-1 and F-1 Visa holders are not eligible for Adult Education classes.