Course Server

Account Creation Authorization

Student ID
**** Número de Licencia **** **** License Number ****

Student PIN
**** Apellidos según su expediente **** **** Both Lastnames as appear in out files ****

Required Information

Login Name

· May contain only letters, numbers, underscores, hyphens or periods.
· 20 character maximum

Password

· Use a combination of letters, numbers and symbols
· 8 characters minimum, 15 characters maximum

Password Again

Email Address
Keep email hidden from others.

First Name

Second Name

Last Name

Personal Information (Optional)

Date of birth
Year: Month: Day:

Sex
Male Female Not specified

Street Address

Postal/Zip Code

City

Province/State

Country

Area Code and Phone Number

Web Site