Create New Student Profile

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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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E-mail Preference
Yes No
Receive course related info via e-mail?
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Social Security Number
Birthdate
Marital Status*
Single
Married
Divorced
Separated
Widowed

Primary Address
 
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Secondary Address

Mail preference
May we include you on our mailing lists?
Yes No
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Additional phone
 
 
Educational Level
Are you a York College Alumni?
Yes No
Gender
Female Male
Senior
Yes No
Are you 65 years of age or older?
U.S. citizen*
Yes No
Are you a citizen of the United States of America? If NOT select from the next question.
If I am NOT a citizen, I attest that I am (check one of the following)

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Ethnicity*
Are you currently employed?*
Yes No
Employment Status*

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Do you want job support?*
No Yes
Family Income*
less than $24,999
$25,000 to $49,999
$50,000 to $99,999
$100,000 or more
What are your goals?*

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Can we contact you to follow-up on your education?*
No Yes
Limited English Proficiency*
Yes No
How you heard about us*
York College/Continuing & Professional Education