Basic Adult Education | Sedney Institute

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First name

Last name

Birthday

Tag

Monat

Jahr

Phone

Address

Gender

Male

Female

Highest Level of Education Completed:

No Formal Education

Primary School

Secondary School

Vocational Training

Some College

College Graduate

Other

Year of Completion (if applicable):

Previous Adult Education Courses Attended (if any):

Course Name:

Year Attended:

Course Request:

Courses Interested In:

Reading and Writing Skills

Basic Mathematics

English as a Second Language (ESL)

Computer Literacy

GED Preparation

Financial Literacy

Job Readiness

Other

Preferred Learning Mode:

In-Person

Online

Hybrid

Preferred Schedule:

Weekdays (Daytime)

Weekdays (Evening)

Weekends

Start Date:

End Date:

Learning Goals:

What are your goals for taking this course? (Check all that apply)

Improve Reading/Writing Skills

Improve Math Skills

Prepare for GED

Improve Job Prospects

Gain Confidence

Other

Please describe your specific learning objectives:

.I, the undersigned, request enrollment in the Adult Basic Education program. I understand that I will be contacted regarding the next steps.

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Nairobi,Kenya

A tertiary institution accredited by T.V.E.T to operate an educational training institute.

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Basic Adult Education

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