CCLC Student Interest Form

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Welcome

Since 1964, the Charles County Literacy Council (CCLC) has helped adults improve their reading, writing, math, English language, and digital literacy skills.

Congratulations on taking the first step toward achieving your goals!

Please complete this form and a CCLC representative will contact you to discuss your learning needs.

Contact Information:
📧 charlescountyliteracy@comcast.net
📞 301-934-6488

Student Name

Phone Number(s)

E-Mail Address

Are you the person seeking tutoring services?

CCLC requires the prospective student to contact us directly. If you are completing this form for someone else, please have the student contact us to begin the intake process.

Yes

Clear selection

What is your date of birth?

Students must be at least 18 years old to receive tutoring services through CCLC.

YYYY

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