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Wayne College & UA Adult Focus Adult Enrichment Program (Achieving College Success) Application
Name:
Address:
City:
State:
Zip Code:
Phone: (include area code)
Is this number a cell phone number?
Yes
No
Email:
Birthday:
Career Goal/Major:
Do you have a High School Diploma/GED?
Yes
No
Are you currently a UA student?
Yes
No
If UA Student, what is your UANet ID:
How did you hear about the Adult Enrichment Program?
UA Adult Focus office
Advisor Wayne College
Other:
Emergency Contact Name:
Emergency Contact Phone:
Initial Test
Initial Test Date:
Initial MARTH Score:
Initial MBALG Score:
Math Placement:
Math 1
Math 2
Final Test
Final Test Date:
Final MARTH Score:
Final MBALG Score:
End of Program Advising Date:
Advisor:
Next Step:
Additional Information
Program Policies
As a student in the Adult Enrichment Program, you agree to abide by the following policies:
Priority registration for the Adult Enrichment Program will be given to UA and Project Learn students.
There will be no admittance of new students into the Adult Enrichment Program after the first week of class.
You will receive a syllabus from the instructor. You agree to abide by that syllabus.
Only enrichment program students are allowed in the classroom. If you bring a guest, you must get permission from the instructor at the beginning of class.
If you miss class, please email the instructor.
You are required to take the exit tests at the end of the program.
You are required to have an exit advising appointment at the end of the program.
There is a limit of three attempts without completion of the program.
If a student successfully completes an Enrichment class and tests into regular coursework, the individual may not take the class again.
Students cannot start class after the first week of class.
By entering my initials here, I have read and agree to the program policies
An asterisk (
*
) denotes a required field