2026-2027 St. Landry Community Action Adult Education Enrollment Forms

WorkReady U Intake Form (In-person classes)

Please read these directions carefully to fill out enrollment forms. Our enrollment forms may take 45 minutes to 1 hour to complete. You are filling out this form to enroll for in-person classes. Directions for Adult students 18 or older: To fill out this form you will need your Social Security Number and your School ID/State ID/Driver's license. Any student selecting “no” for citizenship will be required to upload a copy of a U.S. passport or birth certificate, a valid Permanent Resident Card (Green Card), naturalization or citizenship certificate, any other official document verifying legal residency or citizenship status. All students are required to upload valid identification. Notice 4/28/2026: Potential students are welcome to submit your application for enrollment at this time. However, please note that placement testing and class attendance will not be available until late July (this is subject to change). Additional information regarding scheduling and next steps will be sent via email. This is NOT the online classes application. Online classes applications are closed. To apply for Online classes, you must go to https://www.solacc.edu/academics/adult-education/index. Note Class Times: AM: 9:00 a.m.-12:00 p.m. PM: 1:00p.m.-4:00 p.m. Night: 6:00 p.m.-8:00 p.m. *Class times are based on the campus; some campuses may not offer the time and class you would like to take. Classes are split into eight-week cohorts which means even if you complete placement testing, you may not start classes until the new cohort begins. Your instructor will let you know your class start date. *Placement test schedule and class times for classes are subject to change. Please enter student information as this form pertains to the student who will attend classes with us. Please allow 2 to weeks of enrollment processing time before contacting us about your next steps to enrollment. All communication will be via email. Please read the description below questions to answer questions accurately.

Student Contract Agreement (In-person)
Student Name
First & Last Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearStudent Date of Birth
Student Email Address
example@example.com
Student Phone number
Format: (000) 000-0000.
This document is to serve as your acknowledgement of the requirement for every adult education student to take a post-test after they enter the system. Traditionally, this is done after every 40 hours/50 hours of class time, but should you withdraw from the program early, you must communicate with the Adult Education office to schedule a post-test before you leave. Without post-testing scores, SLCC Adult Education cannot stay free for students to attend. It is imperative that testing be completed before a student leaves the program.
I understand that to receive a document verifying my enrollment (i.e. Social Security, SNAP, etc., I must complete at 40 hours of class time and successfully complete a post-test. I acknowledge and agree to these requirements.
Type in your initials to agree.
I understand that I will receive an email after every 40/50 hours of instruction requesting that I schedule a post-test and that I should do this within two weeks of receiving the email.
Type in your initials to agree.
I understand that if I fail to schedule my posttest I may lose the privilege of remaining in Essential Education or class until I take the posttest
Type in your initials to agree.
I understand that it is my responsibility to communicate with the Adult Education office should I decide to leave the SLCC WRU program I also understand that I must complete a posttest before I leave Failure to complete a posttest may result in students not being allowed to return to the SLCC WRU program
Type in your initials to agree.
Student Name
Student Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.
Parent Name
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.

Students with Learning Disabilities Form
WorkReady U Adult Education is in compliance with the regulations of the Americans with Disabilities Act. Reasonable accommodations for qualified persons with learning disabilities are provided to students who have self-identified with the Adult Education Department and have provided required documentation.

If you are approved for accommodations, please understand that they are approved for TABE testing and classroom use only but it does not guarantee that HiSET will approve the accommodations for HiSET testing.
I do need accommodations for TABE testing and classroom use I understand that my accommodations must be approved prior to testing and I will be rescheduled to take the TABE test once I receive notification from the Adult Education office I also understand that HiSET may or may not approve these accommodations for HiSET testing
Please initial if you need accommodations for testing. If you do not need accommodations for testing, please type N/A in the textbox.
I do not need accommodations for TABE testing and classroom use.
Please initial if you do not need accommodations for testing. If you do need accommodations for testing, please type N/A in the textbox.
Student Name
Student Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.
Parent Name
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.

FERPA
Family Educational Rights and Privacy Act

The Family Educational Rights and Privacy Act (FERPA) affords students certain rights with respect to their education records as noted below.

Students have the right to disclosure of personally identifiable information contained in the student's education records, except to the extent that FERPA authorize disclosure without consent. One exception, which permits disclosure without consent, is disclosure to school officials with legitimate educational interests. A school official (including those associated with the Louisiana Community and Technical College system) is defined as a person employed by the College in an administrative, supervisor, academic, or support staff position; a person or company with whom the College has contracted (such as attorney, auditor, or service provider); those persons in an emergency, in order to protect the health and safety of students or other person; accrediting agencies; persons in compliance with a judicial order and others as outlined in AP 51.01. A school official has a legitimate educational interest if the official needs to review an educational record in order to fulfill his or her responsibilities to South Louisiana Community College.
Student Signature
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearStudent Date of Birth
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.
Student First & Last Name
By typing your name here, you are placing your name in the statement below.
I, authorize SLCC WorkReady U to

(Printed Name) share my enrollment and completion information with the following entities:

Local Agency, School System, or Employer (Agency, School System, or Employer Name) WIOA (Workforce Innovation Opportunity Act funded by Louisiana Workforce Development)
Local Agency, School System, Employer Agency School System
If you would like to share test scores, attendance, etc. with a school system or Employer please type name of school or company here. list all agencies
Local Agency Person's Name
List all agency personnel
Local Agency Person's Phone number
List all agency numbers
Local Agency's email address
List all agency emails
OTHER: Minors aged 16-18 must complete the following information of parent or guardian
Parents and guardians of 16-18 year olds must be listed on the FERPA form.
Parent's First & Last Name
Relationship to you
Parent's Phone Number
Format: (000) 000-0000.
Parent Name
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.

INTERNET AND TECHNOLOGY POLICY
Statement of PURPOSE

Using the Internet is encouraged and is a valuable tool in the classroom; however, there are certain student/user responsibilities and rules that MUST be followed.

Student Responsibilites

1. Students must communicate in a way that is appropriate for a school situation (avoid offensive or inflammatory speech

2. Students may only access information that is appropriate for completing school assignments, researching job requirements, exploring college/university websites, etc. Accessing websites that are considered inappropriate (such as websites of sexual nature, Facebook, Twitter, Instagram, personal email accounts, etc for any reason is unacceptable and could result in the student losing computer privileges. 3. Students should follow all copyright rules when accessing information.

4. Impersonation and anonymity are strictly prohibited. Students can only use their personal information when signing onto the computers.

5. Using the internet for personal profit or any illegal activities is strictly prohibited.

User Responsibilities

1. Computer use may be monitored by administrator or staff to ensure the rules are being followed.

2. Users have equal access to the computers and internet relative to educational assignments/goals.

3. Users have a right to work in a quiet environment. Please be aware of others and do not disturb the other students.

4. Users should be safe from unwanted or harassing messages. Such communication should be brought to the attention of a staff person so he/she can remedy the situation.

5. Any effort to disrupt internet services or the computer system through vandalism, spreading viruses, unauthorized entry or destruction of computer files can result in criminal prosecution under state and federal law.
Student Name
Student Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.
Parent Name
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.

Photo/Video Release Form
I, hereby authorize South Louisiana Community (Printed Name) College (SLCC) WorkReady U Adult Education Program to use, reproduce, and/or publish photographs and/or video that may pertain to me including my image, likeness and/or voice without compensation. I understand that material may be used in various publications, public affairs releases, recruitment materials, broadcast public service advertising (PSAs) or for other related endeavors. This material may also appear on SLCC's webpage. This authorization is continuous and may only be withdrawn by my specific rescission of this authorization. Consequently, SLCC may publish materials, use my name, photograph, and/or make reference to me in any manner that SLCC deems appropriate in order to promote/publicize service opportunities.
Printed Name
By typing your name here, you are placing your name in the statement above. If you do not agree with this statement type N/A in the textbox.
I, do not give SLCC WorkReady U Adult (Printed Name) Education Program authorization to use photographs/videos that may pertain to me as stated above.
Student Name
By typing your name here, you are placing your name in the statement above. If you do not agree with this statement type N/A in the textbox.
Student Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.
Parent Name
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.

Essential Education/Burlington English Requirements
I, understand that I am required to work (Printed Name) at least 3 hours a week in the Essential Education/Burlington English Program. I also understand that if I do not meet the required 3 hours a week in Essential Education/Burlington English, I can and will be removed from Essential Education/Burlington English, as well as being removed from in-person classes and placed at the end of the waitlist for re-enrollment.
Student Name
By typing your name here, you are placing your name in the statement above.
Student Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.
Parent Name
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.

Code of Conduct for Adult Education
Students enrolled in SoLAcc's Work Ready U adult education program are expected to abide by all program policies. All students are asked to follow the code of conduct below.
- Respect
- All students are expected to show respect to all individuals on campus including peers, facilitators, and all SoLAcc employees. Examples of disrespectful behavior include threatening behavior with adults and peers, name calling, insults, belittling another's beliefs and opinions, and bullying.
- Language
- Profanity is not permitted in the classroom. Students must switch their speech to a classroom appropriate pattern upon entering the classroom. "This is just the way I talk" is never an acceptable excuse for inappropriate speech. Language that is hateful, racist, offensive, or endorses illegal behavior is not permitted.
- Class
- Disruption Class disruption inhibits learning. In order to maintain a productive learning environment disruptive behavior in class will not be tolerated. Examples of disruptive behavior include talking without permission, interrupting the teacher, sleeping in class, unauthorized use of electronic devices, refusal to follow instructions, loud or distracting noises, or disrespectful speech.
- Smoking
- In accordance with Louisiana law and SoLAcc campus regulations, students under the age of 21 are not allowed to smoke or be in possession of tobacco products including cigarettes, cigars, marijuana, electronic cigarettes/vapes on campus. This includes time on campus before class, during break, or after class.
- Attendance (in-person students)
- Students are expected to attend class on scheduled days. If you need to miss class, especially for more than a few days, contact your instructor. Attending class is required to keep access to Essential Education. If you stop attending, you will lose that access and must show consistent attendance to get it back. Essential Education is not a replacement for class it supports what you learn in class. You are not enrolled as an online student.
- Electronic Devices
- Technology can be a useful learning tool. However, it can be a major distraction that takes away from learning. Students are not allowed to use their phones in class for non- educational purposes. Students need to put their phones out of sight or turned off during class.
  Misuse of technology and the Internet
- Students are allowed to use the internet for educational purposes only. Students caught using the internet for any purpose not related to classwork will use their privilege. This includes inappropriate sites, Hulu, Netflix, or other streaming services, and cyber bullying.
  
  Drugs and other prohibited items
- SoLAcc is a drug, alcohol, and weapon free campus. Possession of these items will result in immediate suspension and possible removal from the program. Students under the influence of drugs or alcohol on campus will be asked to leave and may face suspension and possible removal from the program.
  
  Sexual misconduct
- Any form of sexual harassment or misconduct will not be tolerated. For more information, please review SoLAcc's Title IX policy at https://www.solacc.edu/students/student-rights-and-responsibilities/title-ix-and- power-based-violence
  
  Property offenses
- Any defacement or destruction of school property is not tolerated. Any destruction or theft of another's personal property is prohibited.
  
  Revised 10/31/24 SoLAcc Adult Education Department
Student Name
Student Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.
Parent Name
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.

Writing Sample
Using multiple paragraphs, please respond to the following essay prompt.

Completing your high school equivalency is a big step. Tell us why you decided now was the time to start attending Adult Education classes and what are your goals one you have received your HiSET.
Writing Sample
Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.

Testing Lab Policy Acknowledgment and Agreement
First & Last Name
By typing your name here, you are placing your name in the statement below.
I , understand and acknowledge the following policies

and procedures that must be followed in the testing lab:

1. Prohibited Items and Personal Belongings

No cell phones are allowed in the testing lab at any time. All cell phones must be turned off and handed to the test administrator before testing begins. All personal items, including but not limited to purses, backpacks, and bags, must be left in your car, in the classroom, or placed against the wall away from the testing computers. All electronic devices are strictly prohibited in the testing lab, including but not limited to: Cell phones Tablets

Any other electronic or communication device You will be asked to turn out your pockets before entering the testing lab to ensure no prohibited items are brought in. I understand that I will be monitored via webcam during testing to ensure compliance with all testing policies. Any attempt to disable, obstruct, or interfere with webcam monitoring will be considered a violation of testing protocol and may result in immediate removal from the program. If I am found with a phone or any other prohibited electronic device during testing, I will be immediately exited from the program. If I am caught cheating in any way during testing, I will be immediately exited from the program. If removed from the program for this reason, I will not be permitted to re-enroll in the program at any time.

By signing below, I confirm that I have read, understood, and agree to abide by all of the above policies.
Student Name
Student Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.
Parent Name
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate you are signing this document.
Should be Empty:

WorkReady U Intake Form (In-person classes)

Student Contact Information

Emergency Contact Information

Parent Contact Information

Student Contract Agreement (In-person)

Students with Learning Disabilities Form

FERPA

INTERNET AND TECHNOLOGY POLICY

Photo/Video Release Form

Essential Education/Burlington English Requirements

Code of Conduct for Adult Education

Writing Sample

Testing Lab Policy Acknowledgment and Agreement