Cell Phone #
Home Phone #
Do you still live in Baltimore?
If not, where do you live?
Month/Year diploma was obtained?
Program attended while at SBLC?
Are you currently employed?
If so, where, and what is your job role/title?
Maintained same employment with employer listed above?
Have you continued your education since graduating from SBLC? Check all that apply:
College/University Vocational/Trade School Certifications Licensing Other
If you checked any of the above, please include the name of the school, trade/course of study, type of degree or certification and date of completion.
Would you be interested in volunteering at SBLC as a tutor, classroom assistant, event volunteer, board member, etc.?
Would you be interested in being added to our email newsletter list to stay connected regarding what’s going on at SBLC?
In connection with the South Baltimore Learning Center (SBLC) as a graduate and by submitting this form, I grant SBLC the right to utilize my name and data as collected from this form for reporting and media purposes. This information will be used to promote adult literacy and to demonstrate my success as a graduate of this organization. It is understood that I will not receive any form of compensation for the publication of my information of any kind as it will be used by the discretion of South Baltimore Learning Center.
28 E Ostend Street
Baltimore, MD 21230
©2016 South Baltimore Learning Center
SBLC programs are partially supported by grant funding from the Department of Labor, Licensing, and Regulation, the U.S. Department of Housing and Urban Development, and the State of Maryland.