Application for Adult Basic and Secondary Education Classes

Questions about this application?
Call Belinda Frantz at (828) 694-1745 or Jen Jolly at (828) 694-1763

Personal Information
Phone Contact
*If these change, we cannot call you. Please notify us of any changes.
ex: 828-555-5555
ex: 828-555-5555
Date of Birth

*If NO, you will need to get an affidavit signed and notarized before starting classes.

Affidavit for Minors

Please answer the following questions:
This program requires a minimum of 3-5 hours of study per week.
Choose one.

Adult High School is a program that allows you to obtain your high school diploma by taking classes that you would have taken in high school. BRCC staff would evaluate your high school transcript and would advise you on which classes you would need to take in order to receive your diploma.

If you are interested in the Adult High School Program, you must submit a sealed copy of your high school transcript with this application.

Orientation and Registration

Before beginning classes, you must attend an orientation. Once your application has been received and reviewed, you will receive a call from a staff member to schedule an appointment for orientation.

Please bring your Social Security Number with you to register for classes.

Terms of Acceptance and Signature

I warrant the truthfulness of the information provided in this application. I have agreed to submit this application by electronic means. By signing this application electronically, I certify that my answers are correct and complete to the best of my knowledge.