Degrees Work Intake Form

Degrees Work
Degrees Work is a FREE service to help adults find their way back to and through college. Congratulations on taking your first steps today toward reconnecting to college! 

Please fill out as many of the questions below as possible so that we can serve you better, faster, and more effectively. Remember: our services are always FREE.  We will NEVER sell or give away your information. 

This form may take you 5-10 minutes to complete, but it will allow us to immediately tailor advising services to you and other opportunities. After you submit the form, you will see a page with important information on next steps. 

Thank you, and we look forward to assisting you,
The Degrees Work Advising Team






















The following information is considered confidential by many people. We are concerned with your privacy as well. Please know that this information is used only in aggregate, for fund-raising purposes, so that we may continue to provided our services for free. We appreciate your support as you consider providing the requested information.

mm/dd/yyyy



Please tell us a little about your educational experience.






By submitting this form I give permission to Degrees Work to forward my information to its partner institutions for purposes of assisting with my college admissions/enrollment.

I give permission to the Admissions/Office of Enrollment Management/Registrar of the College/University I shall be attending to release to Degrees Work verifying my enrollment status and my official transcript.

I fully understand that all information given on this application and information released to Degrees Work or its partner institutions is protected by the Federal Privacy Act and, therefore will be kept confidential. Degrees Work promises it will NEVER sell or give away personal information.

I certify that all information that I have provided on this application is accurate and true to the best of my knowledge and ability.


If you have questions now or later, please contact our staff: whitney.carter-roberts@kentuckianaworks.org or joi.mcatee@kentuckianaworks.org or call 502-214-5406. 

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