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Username: minimum 6 characters
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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 Privacy Policy
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Alternate Last Name
SECONDARY EMAIL ADDRESS
Mail preference
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Primary Address
 
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Secondary Address

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Additional phone
Gender*
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Birth Date*

mm/dd/yyyy
How you heard about us*
Catalog
Website
Word of Mouth
Previously Enrolled
Friend/Family
Newspaper Ad
Flyer
Other
None specified
Confidentiality Request

yes
Employer/Company
Employer Contact Name
Employer Email
Employer Address
Employer City
Employer State
Employer Zip Code
Employer Phone Number
Idaho Apprentice ID Number
WA Apprentice ID Number
NIC ID Number

North Idaho College Student ID Number