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Create New Student Profile

If you are registering for someone else, create the profile for the person who will be attending the class.
Please use your firstname.lastname for your UserName. Required fields are indicated with an asterick (*).


You must provide a valid email address in order to continue with your login. If you do not already have an email address, you may sign up for a free account at Google GMail™, Yahoo®, or Hotmail™ web addresses.  Please note that NICC has no association with your chosen email provider, nor do we endorse any provider.
*denotes required information.

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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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Primary Address
 
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Secondary Address

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Additional phone

If your company is not available in the list, select ** Add Company ** and you will be prompted to add your company's information after submitting this form.
Cancel
Birthdate*

mm/dd/yyyy
E-mail Preference
Yes No
Receive course related info via e-mail?
Gender*
Ethnicity*

Select from below all that apply
American Indian or Alaska Native
Yes
Asian
Yes
Black or African American
Yes
Native Hawaiian or Other Pacific Islander
Yes
White
Yes
Last 4 Digits - Social Security Number*
Cancel
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