Darlington County Adult Education Student Referral Form

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Referral Guidelines
Requirements in Detail 1. To refer a potential student to Darlington County Adult Education, please complete this form and return it to the Adult Education Office. For students seeking the traditional high school diploma, please also include a copy of the student’s official high school transcript. 2. As an incentive, students referred from First Steps will not have to wait until the next scheduled registration time. Referred students will be accepted by appointment in the order in which the referrals are received. 3. Students referred from First Steps may qualify for all testing and associated fees to be provided at no cost. This may also include study materials and, in some cases, transportation. 4. Please submit completed referral forms to: Darlington County Adult Education 100 Magnolia St. Darlington, SC 29532 or Fax: 843-395-8944.
Referring Program Information
Program Name: Darlington County First Steps
Contact Name
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Email
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Date //
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Phone --
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Fax --
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Student Information
Full Name
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Address
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Home Phone --
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Mobile Phone --
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E-mail Address
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Does this student have school aged-children?
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Program
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Site
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For DCAE Office Use Only
Date Received
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Assigned To
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Received By
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Site
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