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About Us

Grove Hall NDC - Program Sign-Up Form

Basic Information

First name*

Last name*

Email*

Phone*

Would you like to request a callback?*

Yes

Preferred Method of Contact*

Phone

Text

Address (Optional but helpful for reporting)

Address (Optional)

Country/Region

Address

City

Zip / Postal code

Program Interest

Which program(s) are you interested in? (Check all that apply)*

Community Outreach & Partnership Development

Computer Training & Digital Literacy (for youth)

Computer Training & Digital Literacy (for adults)

Computer Training & Digital Literacy (for seniors)

Youth & Young Adult After-school / College Academic Support

Financial Literacy & Money Management Classes

Civic Engagement & Community Leadership Classes

Participant Information

Age Range*

Under 18

18-24

25-54

55+

Are you a student?*

Yes

Availability

Preferred Days*

Weekdays

Evenings

Weekends

Preferred Format*

In-person

Virtual

Either

Additional Information

What are you hoping to gain from this program? (Optional – short answer)

How did you hear about us?*

Website

Social Media

Friend/Family

Community Event

Other

I agree to be contacted by Grove Hall NDC regarding programs and services.

WE ARE DRIVEN BY A SINGLE GOAL:

To Do Our Part In Making The World A Better Place For All.

Our decision making process is informed by comprehensive empirical studies and high quality data evaluation. We strive to build productive relationships and make a positive impact with all of our pursuits.