AESA Student Application

AESA Student Application

What semester are you applying for?*

Select

Last Name*

First Name*

What name do you go by? (optional)

(Only if different than the "First Name" you listed above)

Mt. SAC ID#

Please leave blank if you don't know it or don't have one yet.

Date of Birth*

Phone Number*

Phone

Email Address*

I am currently enrolled in an Adult School*

Yes

Which adult school do you attend?*

What is the name of your adult school?*

Who should we contact at the school to verify your enrollment?*

What is their title/job at the adult school?*

What is their email address?*

What program are you enrolled in?*

GED/HiSET

Adult Diploma

Not enrolled in GED/HiSET or Adult Diploma

Are you a current or future Dream student at Mt. SAC?*

Yes

Are you currently taking ESL classes at Mt. SAC?*

Yes

How did you hear about AESA?

Select or enter value

Where did you learn about our program?

Requirements and Responsibilities for AESA Students*

I agree to:

Enroll in and attend an Adult High School or GED Prep Program.
Complete CCCApply for the semester in which I want to enroll in AESA.
Schedule and attend a meeting with an AESA counselor before enrolling in credit courses (new AESA students only).
Enroll in a maximum of 11 college units during the Fall or Spring and 6 units for the Winter or Summer (I understand that will be dropped from AESA if I have exceed these units and will have to pay the full cost for my courses, including any nonresident fees).
Add and/or drop classes using the Mt. SAC Portal (we will not register you for courses).
Complete CCCApply again when I am ready to exit AESA.
Dream Students only: Schedule and attend a meeting with my Dream counselor every term I participate in the AESA Program.
For Mt. SAC Adult Ed Students: Attend at least one hour per week during the term (for HSE/GED) or submit at least one assignment per week (Adult High School).

Failure to comply with these requirements may result in HOLDS on student accounts and/or dismissal from the program.

Yes

Send me a copy of my responses