Follow the steps to complete your registration form online.

1. Click ‘Get Form’ button to access the registration form and open it in your preferred editor.
2. Begin by providing your Social Security Number or EPCC ID in the designated field. Additionally, enter your date of birth in the format Month/Day/Year.
3. Fill in your legal name as requested, including your last name, first name, and middle initial.
4. Enter your complete mailing address, including street, city, state, and zip code, ensuring all information is clear and accurate.
5. Indicate your contact numbers by providing your cell, work, and home phone numbers in the respective fields.
6. Supply a valid email address where you can receive communications related to your registration.
7. Select your gender from the options provided. You may also choose to leave this section blank, as it is optional.
8. Provide the name and phone number of an emergency contact person, ensuring this person is aware you have listed them.
9. Review the section regarding disability accommodations and contact the appropriate Center for assistance, if needed.
10. Respond to the questions about the release of your directory information and your citizenship status.
11. Optionally, select your ethnicity from the list provided if you wish to disclose this information.
12. Finally, sign and date the form to verify that all the information provided is accurate and complete.
13. Once you have filled out the form, you can save, download, print, or share it as needed. Ensure it is submitted via email or fax to the designated contact provided in the instructions.

Take the next step in your educational journey by completing the registration form online today!