Hannaford Career Center Adult Education Registration Form
Thanks for your interest in our classes! We are pleased to see your commitment to improving your community and career.
Email address *
Your full name *
Your answer
Your date of birth *
Your mailing address (include street address/P.O. Box, town, and ZIP *
Your answer
Best phone number(s) to reach you (list home, work, cell, etc.) *
Your answer
Email (optional)
Your answer
Highest level of education completed to date
If you earned a high school diploma in Vermont, what year was it and what institution granted the diploma? *
Your answer
Name of the course you wish to take *
Your answer
Payment Method *
Would you like to be informed of future course offerings? *
How did you hear about us? (Check all that apply) *
Are there any other classes you would like to see us offer?
Your answer
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