Access Center Interest Form Survey

The Access Center offers a unique opportunity for adults to earn their high school diplomas. Students receive individualized services and support from a career coach to guide their journey to success and assist with job placement. In addition, they receive help from instructors in coursework while earning a credential in a skill area that is in high demand with employers. To contact the Access Center nearest you, please complete this form and/or email and someone will follow up with you shortly.

1.Your contact information:(Required.)

Name

Phone Number

2.Are you a minor (under 18 years old)?(Required.)

Yes

3.Have you officially withdrawn from high school?(Required.)

Yes, less than six months ago

Yes, more than six months ago

Not sure

Other (please specify)

4.Which Access Center location would be most convenient for you?(Required.)

Asheville (offered in partnership with Asheville-Buncombe Technical College)

Morganton (offered in partnership with Western Piedmont Community College)

Statesville (offered in partnership with Mitchell Community College)

Winston-Salem (offered in partnership with Forsyth Technical Community College)

5.Which of the services and benefits available through the Access Center are of interest to you? Check all that apply.(Required.)

Career Coaching and Planning Support

Access to Computer Lab

Individualized Tutoring

Classes to Help Prepare for Coursework or Tests

Quiet Areas for Studying

Continuing Education Opportunities

Community Resources and Services (e.g., Food Supports, Transportation, Childcare, Housing, etc.)

All of the above

Other (please describe)

6.Is there anything else you would like us to know about you?