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Legal First Name

Legal Last Name

Preferred Phone Type

Birth Date * (mm/dd/yyyy)

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Home Phone (numbers only, no spaces or dashes)

User Account Login Information

Email Address

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Mailing Address (Optional)

Address 1: Street 1

Address 1: City

Address 1: Street 2

Address 1: State/Province

Address 1: Street 3

Address 1: ZIP/Postal Code

Demographic Information (Optional)

We may use this information to connect students with resources and support. Sharing this information is optional. Select all that apply.

Adult Learner (age 25+)

BIPOC (Black, Indigenous, and People of Color)

First-generation college student

Future dual enrollment student currently attending high school

Member of the LGBTQIA+ community

Military veteran

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Enrolling This Year

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My Pathway/Field of Study of Interest

Your selection here is not final. You will have the opportunity to update this field within the admissions application.

My Academic Program of Interest

Account Information

Your password must be a total of at least 8 characters in length. It must contain at least 1 alpha character, at least 1 numeric character, and at least 1 non-alphanumeric character.

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