Student Celebrations – Fort Wayne Adult Education

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We love celebrating your accomplishments with you!

Please complete the form below to share your celebration and inspire future students just like you!

"*" indicates required fields

Name*

First Last

Phone*

Date of Birth*

Month

Day

Year

Age*

What accomplishment(s) are you celebrating?*

I increased a level on my test!

I tested out of English class and into HSE classes!

I am a new US citizen!

I earned my High School Equivalency (HSE) diploma!

I earned a career training certification!

I got a new job or promotion!

*Check all that apply.

Which career training certification did you complete?*

Congrats! Tell us more about your new job or promotion!*

Would you like to attend a graduation ceremony in your honor?*

*Future date, location, and time for our next graduation ceremony will be announced at a later date.

YES

NO

Please let us know how many guests you would like to invite to share in this special day!*

0

1

2

3

4

5

Please let us know what size graduation gown you will need:*

S/M/L/XL

XXL/XXXL

Please select your height range so that we know which graduation gown length you will need:*

4’11” – 5’1″

5’2″ – 5’4″

5’5″ – 5’7″

5’8″ – 5’10”

5’11” – 6’1″

6’2″ – 6’4″

6’5″ – 6’6″

Please share a few words about how Fort Wayne Community Schools Adult Education and/or its staff has positively impacted your life.*

Would you like to upload a picture of yourself for our slideshow?*

You can inspire other students just like yourself!

Yes

No

Upload your picture here.*

Max. file size: 1 GB.

Photo Release*

Please check the statement below to acknowledge your agreement for use to use your photo.

I give permission for Fort Wayne Community Schools Adult Education to use my name and picture in online or print promotional communication.

Permission to Share*

Please check the statement below to acknowledge your agreement for us to share your story in our slideshow.

I give permission for Fort Wayne Community Schools Adult Education to use my name and/or the above words I shared in online or print promotional communication.

Student Signature*

Please type your full name as it appears on legal documents to give consent and serve as your electronic signature.

Date*

MM slash DD slash YYYY

Parent/Guardian Signature*

Please type your full name as it appears on legal documents to give consent and serve as your electronic signature.

Date*

MM slash DD slash YYYY

Do you know a classmate with a story to share? Show them this QR code or download the flyer with the QR code here.

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