Title I Workforce to Title II Adult Education – Completed by Title I Workforce Staff Local Adult Education Area(Required)Choose an Adult Education AreaAthens Technical CollegeCentral Georgia Technical CollegeChattahoochee Technical CollegeGeorgia Northwestern Technical CollegeLanier Technical CollegeNorth Georgia Technical CollegeOconee Fall Line Technical CollegeWest Georgia Technical CollegeTestParticipant Name(Required) First Last Participant Phone Number(Required)Participant Email(Required) Referring Provider(Required)Referring Provider Email(Required) Participant Vocational Goal(Required)Reason for the Referral(Required) Participant needs Adult Education High School Equivalency HSE services: Participant does not have high school diploma or its equivalent – not currently enrolled K-12 system Participant needs Adult Ed training services Additional Documentation Drop files here or Select files Accepted file types: xlsx, pdf, docx, xls, doc, Max. file size: 5 MB. Attach a copy of all pertinent information, including available assessment data (e.g., TABE scores, etc. *** NO SOCIAL SECURITY NUMBERS, BIRTH CERTIFICATES OR PII DOCS ***)Adult Education Training Services Integrated Education and Training (IETs) English as a Second Language Classes Citizenship Classes Adult Literacy Classes Note: All individuals referred to Title II Adult Education program must be basic skills deficient (e.g., performing at or below 8.9 grade level, English Language Learner, or needing high school equivalency preparation services).Title I Workforce Staff Signature(Required)Date MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged. Click Once to run the Query Enter your Zip Code
