Embarking on the journey toward obtaining a high school equivalency diploma or a Certificate of General Educational Development (GED) is a pivotal step for individuals aiming to enhance their educational qualifications and expand their career opportunities. Central to this process in Wisconsin is the completion of the PI 1783 form, a preliminary application required by the Wisconsin Department of Public Instruction. This comprehensive form collects essential details about the applicant, including personal information, educational background, and specific program requirements that need to be met prior to testing. Additionally, the form addresses crucial elements such as high school data, including last grade completed and total credits earned, as well as the applicant's ability to meet state requirements in civics and health education. Guidance provided by the form extends into the counseling sessions offered to applicants, encompassing various developmental areas such as reading, career interests, and aptitudes. Moreover, the form outlines the diverse options available for attaining a high school equivalency diploma or GED, including traditional testing, credit attainment, post-secondary education, and other specific pathways recognized by the state. Ensuring the accuracy and completeness of this document is vital, as it not only serves as a prerequisite for testing but also guides the applicant through the intricate process of identifying and pursuing the most suitable educational path forward.
Question | Answer |
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Form Name | Pi 1783 Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | wisconsin pi preliminary application development, pi 1783 form, pi 1783, wisconsin pi certificate |
Wisconsin Department of Public Instruction
PRELIMINARY APPLICATION for the
HIGH SCHOOL EQUIVALENCY DIPLOMA or the
CERTIFICATE OF GENERAL EDUCATIONAL DEVELOPMENT
INSTRUCTIONS: Applicant and high school data completed by school district.
This document must be completed and submitted to the GED examiner PRIOR to testing.
APPLICANT DATA
Birthdate Mo./Day/Yr.
Age
HIGH SCHOOL DATA
Last High School Attended |
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Telephone Area/No. |
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Address Street, City, State, ZIP |
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Dates Applicant was Enrolled |
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Last Grade Completed |
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Date Applicant’s 9th Grade Class Has/Will |
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From |
To |
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Graduate |
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Total Credits Earned |
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Credit Requirements Per s. 118.33(1)(a), Wis. Stats. |
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No |
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Civics: Has successfully completed |
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Health: Has successfully completed ½ credit in health? |
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No |
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Date Applicant Excused from Attending School |
Name of Principal of the High School last attended |
Telephone Area/No. |
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under s. 118.15 (1) (C), Wis. Stats. |
Type or Print Legibly |
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I HEREBY CERTIFY that the information contained herein concerning the above named applicant is true and correct to the best of my knowledge.
Signature of Principal or Local Designee Required only for students under the age of 18. |
Date Signed Mo./Day/Yr. |
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APPLICANT GED/HSED REQUIREMENTS To be completed by program provider. |
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Applicant has completed counseling sessions provided by: Check one |
Name and Address of Program Provider |
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and indicate name and address of program provider. |
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WTCS |
CBO |
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College |
Other Specify_______________________ |
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High School |
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Included in these sessions were: Check all that apply. |
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Reading |
Date_______________________________Method________________________________Staff Initials_____________ |
Career Interests Date_______________________________Method________________________________Staff Initials_____________
Aptitudes |
Date_______________________________Method________________________________Staff Initials_____________ |
Discussion of options available regarding completion of high school, the high school equivalency diploma, the certificate of general educational
development, and the requirements, benefits, expectations and limitations of each option. |
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HSED Options See explanation on reverse. |
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Certificate of General Educational Development |
PI 5.05 |
PI 5.07 |
PI 5.09 |
High School Equivalency Diploma (HSED) |
PI 5.06 |
PI 5.08 |
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GED Option #2
Development of a plan for completion of one of the options discussed and subsequent activities necessary to work toward an identified goal,
career, or occupation. |
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Health |
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Civic Literacy |
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Course |
Test |
½ Credit |
Test |
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Employability Skills Achieved |
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I HEREBY CERTIFY that the information provided |
Signature of Program Provider |
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Date Signed Mo./Day/Yr. |
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is true and correct to the best of my knowledge. |
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PARENT/APPLICANT SIGNATURE(S) |
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I/We grant permission for the release of |
Parent/Guardian Approval If applicant is under age 18. |
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Applicant Signature |
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information which would verify that I |
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have/have not earned a GED or HSED. |
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*Collection of Social Security Number is used solely for validation purposes and will not be released without written permission.
Page 2 |
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Explanation of Administrative Rules
Relating to the
General Educational Development Program
and the
High School Equivalency Diploma Options
PI 5.04 |
GED. Passed the four (4) GED subtests with a minimum score of 145 on each of the four (4) subtests and |
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passed the civics test with a score of 60 or better. |
PI 5.05 |
Passing the GED test and meeting additional requirements in health, citizenship, and |
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employability skills. (The employability skills and career awareness requirements shall be waived for |
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persons 55 years of age or older at their request.) |
PI 5.06 |
Attainment of credits. This option is most closely related to completion of an actual high school program |
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of study. Persons who have attained, or nearly attained, the 22 high school credits, but who have not |
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graduated, may be eligible for a diploma from their local school district by earning the additional credits |
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required. If the person is not able to obtain a diploma from the school district, he or she may be granted a |
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high school equivalency diploma from the state superintendent. Student must also pass the civics test with |
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a score of 60 or better. |
PI 5.07 |
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issued a high school equivalency diploma. This option requires the completion of 24 semester or 32 |
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quarter credits of |
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physical education) in which the person did not meet the high school graduation requirements. For |
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example, a person who earned 2 credits each in math, science, English, and social studies, and 0.5 in |
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health during high school, would be required to include course work in English and social studies in post- |
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secondary study. Student must also pass the civics test with a score of 60 or better. |
PI 5.08 |
Foreign degree or diploma. This option allows persons who completed the equivalent of high school or |
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superintendent. Student must also pass the civics test with a score of 60 or better. |
PI 5.09 |
Completion of a program approved by the state superintendent. This option will allow WTCS districts, |
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colleges, universities, and |
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to high school equivalency diplomas under this section. The rules specify that the programs must be |
based on the high school graduation standards and include employability skills training and/or assess- ment. Student must also pass the civics test with a score of 60 or better.
Collection of personally identifiable information is used only for validation purposes. State regulations require that student records not be released to third parties without parent/guardian or adult pupil’s consent, or absent such consent, an identification number substituted for the pupil’s name [Wis. Admin. Code PI 11.37(2)(a), (b)].
Note: Copies of Ch. PI 5, Administrative Code may be obtained at the local library or online at: www.legis.wisconsin.gov/rsb/