2026- 2027 Pasco Adult Education Application

1
Which Adult Education location are your applying for?* This field is required.
Please Select
Pasco Hernando State College - Dade City Campus
F. K. Marchman Technical College - New Port Richey
2
Please select your desired program.* This field is required.
Please Select
ESOL
GED
3
Please select your preferred class session at PHSC - Dade City.* This field is required.
Please Select
ESOL - Days - Monday to Thursday 9:00 am to 1:00 pm
GED - Days - Monday to Friday 9:00 am to 1:00 pm
GED - Evenings - Monday and Wednesday from 5:00 pm to 8:00 pm
GED or ESOL - Evenings Tuesday and Thursday from 5:00 pm to 8:00 pm
GED Online - Minimum Pre-Test Scores Required
4
Please select your preferred class session at F.K. Marchman Technical College.* This field is required.
Please Select
ESOL - Days Monday to Friday 9:00 am to 1:00 pm
GED or ESOL - Evenings Monday and Wednesday from 5:00 pm to 8:00 pm
GED or ESOL - Evenings Tuesday and Thursday from 5:00 pm to 8:00 pm
GED Online - Minimum Pre-Test Scores Required
5
Student's Name* This field is required.
First Name
Last Name
6
Please enter your middle name, if applicable.
7
Former or Maiden Name
8
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
9
Email Address* This field is required.
10
Phone Number* This field is required.
Please enter a valid phone number.
11
Gender* This field is required.
Male
Female
12
Social Security Number* This field is required.If unknown or unavailable, enter 999-99-9999
13
Date of Birth* This field is required.
Date
Month
Day
Year
14
What is your birthplace City, State/Country* This field is required.
15
Are you a U.S. citizen?* This field is required.
YESNO
16
Citizenship Authentication - Required for Enrollment* This field is required.Please upload ONE OF THE FOLLOWING to document citizenship status: US Passport, Permanent Resident Card (Green Card), United States Birth Certificate, Certificate of Naturalization, Employment Authorization Document (EAD, FORM 1-766). PLEASE NOTE: A DRIVER'S LICENSE AND A NON-CERTIFIED BIRTH CERTIFICATE CARD ARE NOT ACCEPTABLE FORMS OF CITIZENSHIP DOCUMENTATION.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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17
What is your race?* This field is required.
White
African American
Asian
American Indian/Alaska Native
American Indian
Pacific Islander
Multi/Other
18
Are you a Migrant and/or Seasonal Farmworker?* This field is required.
Please Select
No
Migrant
Seasonal farmworker
19
Are you of Hispanic or Latino ethnicity?* This field is required.
YESNO
20
In order to enroll in adult education, you must not be enrolled in any secondary school, including home schooling. Are you currently withdrawn from school?* This field is required.
YESNO
21
If you are a former Pasco County Student, enter your student number:
22
Are you currently or has ever been an offender in the criminal justice process?* This field is required.
YESNO
23
What is the primary language spoken at home?* This field is required.
24
Are you a displaced homemaker?* This field is required.A displaced homemaker is an individual who has spent years providing unpaid domestic services, and is currently experiencing the loss of financial support for those services.
YESNO
25
Are you a United States veteran?* This field is required.
YESNO
26
Select applicable military status:* This field is required.
Active Duty
Reserve/National Guard
Veteran/Retired
No Military History
Other
27
What is your employment status?* This field is required.
Employed
Unemployed
Seeking Employment
28
Do you perceive any barriers to employment?* This field is required.
YESNO
29
What is the highest level of education you have completed?* This field is required.
Below grade 9
Grade 9 -12 (no diploma)
Some College
College Degree
30
Do you have a disability that you would like to self-report? Please note that additional documentation may be requested for accommodations and support services.* This field is required.
YESNO
31
Select your income status at the time of application:* This field is required.
Will exhaust federal cash assistance (TANF) within 2 years of program entry.
Have been unemployed for 27 or more weeks.
Identifies as low income.
None of the above applies.
32
The Family Educational Rights and Privacy Act (FERPA) is a federal law protecting the privacy of student education records. It applies to all educational institutions receiving U.S. Department of Education funding. It grants students the right to control the disclosure of their personal identifiable information.* This field is required.
I have read and undertand my FERPA rights.
33
FERPA RELEASEIn accordance with the Family Educational Rights and Privacy Act (FERPA), I authorize Pasco County Schools to disclose information from my educational records to the individual(s) listed below. Please indicate the person's name and phone number below.
34
Enter name, relationship and phone number of emergency contacts:
35
I understand that application fees are non-refundable.* This field is required.
I understand
36
Pasco County Schools Adult Education Tuition* This field is required.
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ORDER SUMMARY
Total costUSD
Adult Education Tuition Fee
Tuition fees are non-refundable and due once per semester. Adult education tuition is $30.00. A 4% convenience fee is added at the time of payment, bringing the total charge to $31.20.
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First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2026
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Expiration Year
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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