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Grand Rapids Learning Center Application
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Personal Information
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Last Name
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Address Information
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American Samoa
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Age Information
Date of Birth
Current Age
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16
17
18
19
Parent/Legal Guardian
First Name
Last Name
Telephone Number
Email Address
Previous School Information
High School
Last school you enrolled/attended
High School Phone Number
High School Location (city and state)
High school disciplinary actions? Please explain.
Reason for Leaving
Last Date of Attendance
Attendance Record
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Rarely Attended
GRLC Information
How did you hear about GRLC?
TV
Radio
Website
Friend/Relative
Referred by counselor
Other
Which counselor referred you?
Have you previously taken online classes?
Yes
No
Are you aware that all high school completion courses in this program are online?
Yes
No
Have you ever received special education or ESL services?
Yes, ESL
Special Education IEP
No
Teacher Information
Teacher Name
Telephone Number
Teacher Email
Are you interested in taking a class through dual enrollment at GRCC?
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Student Records
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Campus Life
Athletics
Bookstore
Dining
GRCC Police
Honors Program
Student Employment Services
Student Life
Study Away
Veterans Services
Learning Resources
Academic Support & Tutoring Services
Counseling & Career Development
Disability Support Services
IT Support
Library & Learning Commons
Student Success
Faculty & Staff
Common Administrative Resources
Finance & Administration
General Counsel
Human Resources
Institutional Research
Employee Directory
Faculty Information
Instructional Support
Provost
Teaching, Learning, and Distance Education
Popular Campus Services
Communications
Facilities
Grants
Information Technology
Media Technologies
Employers & Community
Business & Employers
Business & Corporate Training
Job Training
Workforce Training
Campus Resources
Alumni
GRCC Police
Giving
Purchasing
Transcripts
Community
Lakeshore Campus
Apply for Jobs
GRCC Foundation
Gerald R. Ford Fieldhouse
Laboratory Preschool
Printing
About GRCC
College Information
Leadership & Administration
Office of Diversity, Equity & Inclusion
Schools & Departments
Student Consumer Information
Coronavirus Information
General Information
Accreditation
Campus Safety Information & Resources
College Policies
Vision & Mission
GRCC en Español
Visitor Information
Academic Calendar
News
Jobs & Employment
Locations & Campus Maps