Congratulations on Your Success! Sharing about your journey with adult education can inspire others to pursue success as well. We are honored to celebrate your accomplishments with you!Please tell us about how adult education is helping you to reach your goals. "*" indicates required fields Name* First Last Phone*Email* Date of Birth* Month Day Year Age*What accomplishment(s) are you celebrating?* I earned my High School Equivalency (HSE) diploma! I earned a career training certification! I am a new US citizen! *Check all that apply.Which career training certification did you complete?* Would you like to attend a graduation ceremony at Ben Davis High School in your honor on Saturday, June 3 at 9AM?**Please note that graduates must arrive no later than 7:15AM for lineup and preparation. YES NO Please let us know how many guests you would like to invite to share in this special day!* 0 1 2 3 4 5 Please let us know what size graduation gown you will need:* S/M/L/XL XXL/XXXL Please select your height range so that we know which graduation gown length you will need:* 4’11” – 5’1″ 5’2″ – 5’4″ 5’5″ – 5’7″ 5’8″ – 5’10” 5’11” – 6’1″ 6’2″ – 6’4″ 6’5″ – 6’6″ Please share a few words about how Wayne Township Adult Education and/or its staff has positively impacted your life.*Would you like to upload a picture of yourself for our graduation slideshow?*You can inspire other students just like yourself! Yes No Upload your picture here.*Max. file size: 64 MB.Photo Release*Please check the statement below to acknowledge your agreement for use to use your photo. I give permission for Wayne Township Adult Education to use my name and picture in online or print promotional communication. Permission to Share*Please check the statement below to give us permission to share your story in our slideshow. I give permission for Wayne Township Adult Education to use my name and/or the above words I shared in online or print promotional communication. Student Signature*Please type your full name as it appears on legal documents to give consent and serve as your electronic signature. Date* MM slash DD slash YYYY Parent/Guardian Signature*Please type your full name as it appears on legal documents to give consent and serve as your electronic signature. Date* MM slash DD slash YYYY