Online Contact Form
Thank you for your interest in our programs. A counselor will reach out to you as soon as possible to answer your questions and to set up an appointment. For immediate attention or general questions, please call our office at 603-742-1030. Thank you for your patience.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What town or city do you live in?
*
What state do you live in?
*
Are you under the age of 18?
*
No
Yes
If under the age of 18, are you homeschooled?
Yes
No
What is the best way to contact you?
Text message
Phone call
Email
What do you need help with?
*
Learn English
HiSET/GED testing
Citizenship
Tutoring
Computer/Other Technology
Other
How did you hear about the Dover Adult Learning Center?
Additional comments
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