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1. Main Page

Please feel survey out in its entirety in order to receive a username to log onto the computers here at Collins Career Center, Collins Online, and your Collins E-Mail account.

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* 1. First Name (Please list first name of record at Collins Career Center)

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* 2. Last Name (Please list last name of record at Collins Career Center)

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* 3. Middle Initial

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* 4. Grade

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* 5. Home School?

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* 6. What program are you enrolled in at Collins?

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* 7. What password would you like to use during your enrollment at Collins Career Center? (Please make sure password is at least 8 characters in length with one number and does not contain any symbols)

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