Adult Education Registration Loyalton, CA | Registration

Make the Leap: Register for a Course Today

No time is better than the present to get started on furthering your education in Loyalton, CA. You deserve to invest in yourself. We are here to help make that process as simple and stress-free as possible for you. First things first, we will need some information to get started on the enrollment process. To get started, please take a few moments to fill out the questions below. Our staff will be in touch as soon as possible to provide you with information on the next steps.

REGISTRATION FOR ALL CPR AND FIRST AID CLASSES MUST BE DONE BY PHONE

(530) 993-4953

Adult Education Registration Form

Fields marked with an * are required

First Name * Required
Last Name * Required
Address * Required
Street Address City ZIP / Postal Code
US State * Required
Phone * Required
Email * Required
Gender * Required
Date Of Birth
MM slash DD slash YYYY
Race * Required
Ethnicity * Required
Native Language * Required
Please State Your Country of Birth * Required
Employment Status * Required
Education Status (Last Grade Completed) * Required
Did you Graduate? * Required
If Yes, Highest Diploma or Degree Earned
How Did You Hear About Us? * Required
Digital Literacy Assessment
What type of digital device will you use for your online or hybrid class? * Required
Do you have access to reliable internet at home? * Required
Class Registration
Course One Title * Required
Course Two Title
Course Three Title
Media Release * Required
- By checking this box I give permission for my image, writings, and video to be used by SCSA. I understand these assets may be used for any purpose by SCSA, including, but not limited to educational or public media. I also release the SCSA from responsibility should a third party violate the terms of this release.
Date
MM slash DD slash YYYY
Number
Payment Information
Once the application is submitted, please call 530-993-4953 during business hours to submit your payment. Applications are not complete until payment is submitted. Your spot in the requested class will not be reserved until payment is received.
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Contact Us Today to Start Your Journey to Higher Learning!

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Make the Leap: Register for a Course Today

Adult Education Registration Form

Digital Literacy Assessment

Class Registration

Payment Information

Contact Us Today to Start Your Journey to Higher Learning!