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.
Your full name
Your date of birth
Your mailing address (include street address/P.O. Box, town, and ZIP
Best phone number(s) to reach you (list home, work, cell, etc.)
Highest level of education completed to date
Some high school
High school diploma
College degree (AS, BS, BA, etc.)
Post-graduate work or degree
If you earned a high school diploma in Vermont, what year was it and what institution granted the diploma?
Name of the course you wish to take
Credit card (we will call to complete the transaction)
Cash or Check
Department of Labor or Voc Rehab
Vermont Adult Learning (VAL)
Would you like to be informed of future course offerings?
How did you hear about us? (Check all that apply)
Word of mouth
Referral (If so, list who in the "Other" field)
Are there any other classes you would like to see us offer?
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