HEP Online Application

Your future begins now. . .

Please complete the application to the best of your ability. The HEP recruiter will contact you within 24-48 hours.

APPLICANT INFORMATION

First Name *

Middle Name

Last Name *

Preferred Name

Mailing Address - Street *

Mailing Address - City, State and ZIP code *

Email Address

Primary Phone Number *

Phone Type *

Sex *

Date of Birth (MM/DD/YYYY) *

Age *

Marital Status *

What is your primary language? *

Race/Ethnicity *

Type of Identification *

Family Size *

Family Annual Income *

Do you have children younger than 10? *

Occupation *

Work Schedule (days, hours) *

How often do you travel to other states for employement reasons? *

EDUCATIONAL HISTORY

Last School Attended

Location of School *

Date of Withdrawal *

Last Grade Completed *

Have you ever taken a GED examination? *

ELIGIBILITY INFORMATION

To be eligible to participate in the HEP program, a person must be a seasonal or migrant farmworker or a dependent of a seasonal or migrant farmworker, OR have qualified in the past AND/OR are currently qualified for the National Farmworker Jobs Program (NFJP). "Temporary/Seasonal farmworker" means a person who, within the past 24 months was employed for at least 75 days infarm work, and whose primary employment was in farm work on a temporary or seasonal basis (not constant year-round activity).

Select your eligibility status for HEP *

Have you received services from the Migrant Education Program (MEP) in the past five years? *

Are you currently enrolled in Telamon Services? *

EMERGENCY CONTACT

Emergency Contact Name *

Emergency Contact Relationship to You *

Emergency Contact Address *

Emergency Contact Phone *

DISCLAIMER and SIGNATURE

I certify that the information on this application is correct to the best of my knowledge.
I will provide the necessary documentation to support my eligibility.
I agree and understand that my application is not considered complete until all items have been received.
If admitted to VSU HEP, I agree to abide by all the rules, policies and regulations of VS and VSU’s High School Equivalency Program.

Applicant's Electronic Signature *

Electronic Signature of Parent/Guardian if applicant is under 18 years of age

Checking this box provides consent to and acknowledgement of the USG Privacy Policy.

Security Captcha: *

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APPLICANT INFORMATION

EDUCATIONAL HISTORY

ELIGIBILITY INFORMATION

EMERGENCY CONTACT

DISCLAIMER and SIGNATURE

High School Equivalency (HEP)

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HEP Online Application

Your future begins now. . .

APPLICANT INFORMATION

EDUCATIONAL HISTORY

ELIGIBILITY INFORMATION

EMERGENCY CONTACT

DISCLAIMER and SIGNATURE

High School Equivalency (HEP)