EduConnect Form

Thank you for your interest in JEVS EduConnect. We are dedicated to helping you succeed in a flexible, affordable and career-focused way.

To learn more about our online education options, please fill in the form below.

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First Name*
Last Name*
Cell Phone Number*
Email Address*
Program of Interest*
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Do you have a H.S. diploma or GED?
- Yes
- No
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Have You Attended College Previously?
- Yes
- No
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If Yes, Where?
How Did You Hear About This Program?*
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Is There Anything Else You'd Like Us to Know?
By submitting this form, I give JEVS Human Services consent to contact me using the above phone number and email address, and to use automated technology to call and text at the phone number above, including the wireless number if provided.