22+ Program

The 22+ Program

The 22+ Adult High School Diploma Program is a free program that is available to any person who is 22 years of age or older who has not previously earned a diploma or High School Equivalence Diploma and resides in Erie County. Ohio Department of Education is offering this program to help adults without a diploma or High School Equivalence Diploma earn a high school diploma and to improve their workforce skills.

22+ Program Application

Please submit proof of residency in the state of Ohio. (This may be a piece of mail delivered to you with your name and address.)

Please submit a Birth Certificate and a Driver's License or State Issued ID.

A High School Transcript of Courses and State of Ohio Test results must be obtained prior to enrollment.

Date:

First, Middle, Last Name (& Maiden if applicable):

Date of Birth:

Place of Birth:

Mother's Maiden Name:

Last Four Digits of Social Security Number:

Address, City, State, Zip Code:

Phone Number(s):

Email:

Sex:

Native Language:

Hispanic/Latino?

Race (Please check all that apply):

American Indian/Alaska Native
Asian
Black/African American
Native Hawaiian/Other Pacific Islander
White/Non-Hispanic

Year that you First Entered 9th Grade:

Highest Grade Completed:

Academic Year:

Have you ever been diagnosed with a learning disability or served on an IEP (Individualized Education Plan)?

If so, please list the identified disability and date of the most recent IEP/MFE.

Please list the Name, City, and State of all prior schools in which you received high school credit or completed Ohio Testing Requirements (Most recent first):

Are you employed?

If so, please list the name of your employer, city, and approximate hours of work per week:

Your Name:

Your Email:

To validate your submission, please answer the following math problem: