|
|
|
|
|
Enter Registrant ID
Apostroph is not allowed in Registrant ID
|
Use birthdate and last four digits of your social security number.
Ex. 09.17.71.1111
|
|
|
Enter Password
Password can contain letters, numbers and the following symbols: !@#$()
|
Required
|
|
|
Enter confirm PasswordPassword don't match
|
Required
|
|
|
|
|
|
|
|
|
|
|
|
Enter First Name
Numbers not allowed in First Name
Text 'First Name' not allowed
|
Required
|
|
|
Numbers not allowed in Middle Name
Text 'Middle Name' not allowed
|
Optional
|
|
|
Enter Last Name
Numbers not allowed in Last Name
Text 'Last Name' not allowed
|
Required
|
|
|
Enter Empl ID #.
|
Employee ID # is required
|
|
|
Enter Primary Email
Primary Email should be in proper format.
|
necessary for e-mail reminders and confirmation.
|
|
|
Confirm Primary Email should be in proper format.
Re-enter Primary Email
The Primary Email and Confirm Primary Email fields must match.
|
necessary for e-mail reminders and confirmation.
|
|
|
Please select District
|
Required
|
|
|
Please select Building
|
Required
|
|
|
|
Optional
|
|
|
|
|
|
|
|
Optional
|
|
|
|
Optional
|
|
|
|
Optional
|
|
|
|
|