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Create New Student Profile

Student Profile

If you are registering for someone else, create the profile for the person who will be attending the class.

Please use your email address for your Username. Required fields are indicated with an asterisk (*).

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 Eastern Iowa Community Colleges has no association with your chosen email provider, nor do we endorse any provider.

* denotes required information.

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You will use your email address as your username on this site.
 Privacy Policy
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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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Primary Address
 
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Secondary Address

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Additional phone
 
 
Cancel
Do you have a High School Diploma or High School Equivalency Diploma (GED, HiSET)?*
Unknown
Yes
No
Educational Level
None specified
Some High School
High School Graduate
Some College/Trade School
College Graduate
Master's Degree
Ph.D. or Ed.D.
Birthdate*
Gender*
Female Male

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.
Mail preference
May we include you on our mailing lists?
Yes No
SSN

Full Social Security Number
Race
Ethnicity
Hispanic
Non-Hispanic
Unknown or None specified
License Number

Professional License Number