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Thank you for choosing Eastland-Fairfield Adult Workforce Development. We hope your class proves beneficial and helps you in your new career choice. Please be sure to enter all required information and remember to press the "Submit" button at the bottom of the page when finished.

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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: (){}!@$%^&*)

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Password hint*

Identity Verification Question*

Identity Verification Answer*

E-mail*

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First name*

Middle Name

Last name*

Mail preference

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E-mail Preference*

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Primary Address

Primary Address Type*

line 1 > Address*

line 2 > Address

City*

State*

Province *

Zip*

Zip+4

Secondary Address

Same as Primary Address

Secondary Address Type

line 1 > Address

line 2 > Address

City

State

Province

Zip

Zip+4

Phone*

Additional phone

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Birthdate*

mm/dd/yyyy

Gender

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How you heard about us*

Social Security Number*

SSN

Program(s) of Interest*

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