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Username: minimum 6 characters
Password: minimum 12 characters, must contain a number and any two of the following three: upper case, lower case, special characters (for example: (){}!@$%^&*)

Strength

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Preferred Name (If different from first name)
Former Last Name (as a U of M student)

Primary Address
 
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Secondary Address

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Additional phone
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Birthdate*
Race/Ethnicity
Immigration Status*
Country of Citizenship

Country where the Learner has citizenship
Is English your first Language*
Yes No
*Country of Birth

Country where the Learner was born
Employer*
Company Type*
Education Level*
Mail preference
May we include you on our email list?*
Yes No