NCCC Adult Ed Online Registration
Fill out form below and register for your Adult Ed class online.
Email address *
Name *
Your answer
Phone Number *
Your answer
Mailing Address (please include Town & Zip Code) *
Your answer
Date of Birth *
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YYYY
Please add my information to the: *
Select Course(s) *
( * ) indicates that Tuition Assistance may be available
Required
Release of Information:
Yes
No
I give my permission to North Country Career Center - Adult Education Office to use my picture for advertising the program which I am currently enrolled.
Select Method(s) of Payment
Employer if Employer Funded *
Your answer
Comments
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How did you learn about our course offerings? *
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