Pi 1783 Form PDF Details

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.

QuestionAnswer
Form NamePi 1783 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameswisconsin pi preliminary application development, pi 1783 form, pi 1783, wisconsin pi certificate

Form Preview Example

Name of Applicant
Address Street, City, State, ZIP
Social Security Number*
Telephone Area/No.

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.

PI-1783 (Rev. 07-16)

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

 

 

 

 

 

 

Telephone Area/No.

 

 

 

 

 

 

 

 

 

Address Street, City, State, ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dates Applicant was Enrolled

 

 

Last Grade Completed

 

Date Applicant’s 9th Grade Class Has/Will

From

To

 

 

 

Graduate

 

 

 

 

 

 

 

 

 

Total Credits Earned

 

Credit Requirements Per s. 118.33(1)(a), Wis. Stats.

Yes

No

 

 

Civics: Has successfully completed 100-question civics test?

 

 

Health: Has successfully completed ½ credit in health?

Yes

No

Date Applicant Excused from Attending School

Name of Principal of the High School last attended

Telephone Area/No.

under s. 118.15 (1) (C), Wis. Stats.

Type or Print Legibly

 

 

 

 

 

 

 

 

 

 

 

 

 

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.

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICANT GED/HSED REQUIREMENTS To be completed by program provider.

 

 

Applicant has completed counseling sessions provided by: Check one

Name and Address of Program Provider

 

and indicate name and address of program provider.

 

 

WTCS

CBO

 

 

College

Other Specify_______________________

 

 

High School

________________________________

 

 

 

 

 

 

Included in these sessions were: Check all that apply.

 

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.

 

 

HSED Options See explanation on reverse.

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

 

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.

 

 

 

 

 

 

 

Health

 

 

 

 

Civic Literacy

 

 

 

Course

Test

½ Credit

Test

 

 

 

Employability Skills Achieved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I HEREBY CERTIFY that the information provided

Signature of Program Provider

 

 

Date Signed Mo./Day/Yr.

 

 

 

is true and correct to the best of my knowledge.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PARENT/APPLICANT SIGNATURE(S)

 

 

 

I/We grant permission for the release of

Parent/Guardian Approval If applicant is under age 18.

 

Applicant Signature

information which would verify that I

 

 

have/have not earned a GED or HSED.

 

 

 

 

 

 

 

 

 

 

 

*Collection of Social Security Number is used solely for validation purposes and will not be released without written permission.

Page 2

PI-1783

 

 

 

 

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

 

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

 

employability skills. (The employability skills and career awareness requirements shall be waived for

 

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

 

of study. Persons who have attained, or nearly attained, the 22 high school credits, but who have not

 

graduated, may be eligible for a diploma from their local school district by earning the additional credits

 

required. If the person is not able to obtain a diploma from the school district, he or she may be granted a

 

high school equivalency diploma from the state superintendent. Student must also pass the civics test with

 

a score of 60 or better.

PI 5.07

Post-secondary education. Persons who complete a full year of post-secondary education may be

 

issued a high school equivalency diploma. This option requires the completion of 24 semester or 32

 

quarter credits of post-secondary education, which must include credits in any area of study (except

 

physical education) in which the person did not meet the high school graduation requirements. For

 

example, a person who earned 2 credits each in math, science, English, and social studies, and 0.5 in

 

health during high school, would be required to include course work in English and social studies in post-

 

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

 

post-secondary study in another country, to be granted a high school equivalency diploma from the state

 

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,

 

colleges, universities, and community-based organizations to request approval of programs which will lead

 

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/