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User Registration

This is the form used for students to create student accounts.

"*" indicates required fields

Name*

First Last

Gender*

Phone*

Email*

Please use school email.

Address*

Date of Birth*

Grade*

Please enter your current grade.

School*

School District*

Parent Name*

First Last

Parent Phone

Parent Email*

Username*

Password*

Enter Password Confirm Password

Focusing on introducing high school students to regional career opportunities. Leading students to college credit and or industry recognized certifications to high school students within the region.

VIRTUAL CAREER FAIR // MARCH 31, 2021 // 10AM - 3PM

User Registration

Perkins State Reporting Data