DMACC Continuing Education: User Account

Welcome to DMACC Continuing Education

User Account

*User Type:

*Email:

*Password:

8 - 32 characters and at least one number

*Confirm Password:

Hide Password

*Legal First Name:

Enter your legal name

Preferred First Name:

Middle Name:

*Legal Last Name:

*Cell Phone

() -

*DOB:

/ / (mm/dd/yyyy)

Current Home Address

*Address1:

Address2:

*Zip:

*City:

*State:

Demographic Information

*Gender:

Male Female

*U.S. Citizen:

Yes No

*Iowa Resident:

Yes No

Are you Hispanic/Latino?:

Yes No

Ethnicity/Race:

Captcha Information

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