I give permission to the Crawfordsville Community School Corporation and the Adult Education programs to share/use my school records and/or test scores for the educational, assessment and goal purposes.

I am enrolled in an adult basic education (ABE) program. This ABE program works with the following programs and agencies to help students improve their skills and earn better jobs:

• Other state-funded adult education programs
• WorkOne offices and job training programs
• Public and private colleges
• State executive offices, departments, and agencies including the Indiana Department of Workforce Development(DWD), Division of Adult Education and the Indiana Department of Education

By signing this form, I understand and agree to the following:

• DWD use of directory information (name, address, birth, and social security number) to match test score records, wage information, and college/training program enrollment records that assist the state to evaluate and improve its programs and to report results to the federal and state government
• The sharing of information between the agencies and programs listed above. This information may include my name, enrollment information, education/career goals, test scores, and employment history. The information will be kept strictly confidential and will be used for program administration, research, and evaluation purposes.