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Create New Student Profile

All first-time users of our new Continuing Education and Training registration system must create a new profile. Previous Instant Enrollment logins cannot be used.

* denotes required information.

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Step-3

Username*

Username: minimum 6 characters

Password*

Password: minimum 12 characters, must contain a number and any two of the following three: upper case, lower case, special characters (for example: (){}!@$%^&*)

Password Strength

Re-enter password*

Password hint*

Identity Verification Question*

Identity Verification Answer*

E-mail*

Re-enter E-mail*

First name*

Middle Name

Last name*

Suffix

Chosen First Name

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

County *

County of residence

Phone*

Additional phone

Cancel

Birthdate *

Maryland Resident 60+? *

Yes No
Are you a MARYLAND resident and at least 60 years of age?

Gender *

Female Male

Personal Pronoun

Company

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

E-mail Preference

Yes No
Receive course related info via e-mail?

Race

Ethnicity

Social Security Number

Please provide if registering for career training or Workforce Training Certificates.

U.S. citizen *

Are a citizen or legal resident of the United States of America?

Emergency Contact Name

Emergency Contact Phone

Cancel

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