To reschedule your orientation appointment, complete the form below and click SUBMIT. We are looking forward to helping you reach your goals!

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Name*
Date of Birth*
MY GOALS: I would like to:*
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STUDENT BARRIERS:*

Learner Agreement

I agree that the listed goals are those I choose to work on, and that for successful achievement of these goals, I need to commit to making a genuine effort to this end.

I have read and understand the expectations for my participation in Lafayette Adult Resource Academy program and agree to follow all of Lafayette Adult Resource Academy’s policies and procedures.
Please type your full name. Your electronic signature serves as your agreement to the above Learner Agreement.
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Please type your full name. Your electronic signature serves as your agreement to the above Learner Agreement.
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