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Create New Student Profile

Thank you for creating a non-credit student profile here at BC3.  Social security numbers are requested for identifcation purposes only to prevent profile duplication.  They will be privacy masked other than the last four digits.  Please verify that these numbers are accurate upon registration.

* denotes required information.


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.
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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
 
 
County

County of residence
Birthdate*

mm/dd/yyyy
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Mail preference
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