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* denotes required information.

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Username*

Username: minimum 6 characters

Password*

Password: minimum 8 characters, must contain a number and any two of the following three: upper case, lower case, special characters (for example: (){}!@$%^&*)

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Re-enter password*

Password hint*

Identity Verification Question*

Identity Verification Answer*

E-mail*

Re-enter E-mail*

First name*

Alternate First Name

Middle Name

Last name*

Alternate Last Name

SECONDARY EMAIL ADDRESS

Mail preference

May we include you on our mailing lists?

Yes No

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Primary Address

Primary Address Type*

Country*

line 1 > Address*

line 2 > Address

City*

State*

Province *

Zip*

Zip+4

Secondary Address

Same as Primary Address

Secondary Address Type

Country

line 1 > Address

line 2 > Address

City

State

Province

Zip

Zip+4

Phone*

Additional phone

Gender*

Female Male

Birth Date*

mm/dd/yyyy

Employer/Company Name & Contact Information

Company Name, Contact Name, Address, City, State, and Zip Code

Idaho Trade License Number

Planning to work in ID? If so, enter your ID Apprentice, Journeyman, or Master Trade License number.

WA Trade License Number

Planning to work in WA? If so, enter your WA Apprentice, Journeyman, or Master Trade License number.

NIC ID Number

North Idaho College Student ID Number

Class unlock keys

Enter multiple separated by comma.

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