Intake form

Updated 11/21/25

This article has a link to an optional generic paper intake form used by some consortia for enrolling new students. ABE programs can download the form and edit for local use. But be sure to collect all NRS-required information.

Click here to open and download the most recent version

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Changes to 11/21/25 version

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Who Will We Share the Information With?: changed MN Dept of Jobs & Training to MN Dept of Employment and Economic Development (DEED)

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Changes to 7/14/25 version

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Score charts: Added CASAS GOALS 2 Reading and removed BEST PLUS 2.0 scores

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Changes to 2/28/25 version

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Score charts: Added TABE 13/14 and BEST PLUS 3.0 scores

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Changes to 10/27/24 version

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Gender: Two new options have been added:

• Nonbinary – Student identifies as being nonbinary
• Decline to answer – Student prefers not to answer

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Changes to 6/28/24 version

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• Highest Formal Education Level: GED option changed to "GED/HiSET"
• NRS Tracking:
  • Category renamed "Barriers to Employment"
  • Added new barriers - (1) Cultural Barriers, (2) English Language Learner, (3) Low Levels of Literacy
  • Removed dagger from Learning Disabled. Removed associated footer note, "When marking this box, select Disabled also." 
• Test Name: removed reference to CASAS Life & Work (which expired 6/30/24). Added (1) CASAS STEPS, (2) GOALS 2, and (3) HiSET

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• Who Will We Share This Information With?: removed Urban Planet software developer company name
• ABE/ESL Score Charts: removed GOALS MATH, Life & Work Reading and Life & Work Math