ALL QUESTIONS MARKED WITH A RED ASTERISK * ARE REQUIRED TO BE ANSWERED.
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PERSONAL INFORMATION
LEGAL FIRST NAME
LEGAL MIDDLE NAME
LEGAL LAST NAME
PREVIOUS LAST NAME(S)
DATE OF BIRTH (Ex. 01/01/1999)
SOCIAL SECURITY NUMBER
Your social security number is important for tax credit purposes
EMAIL ADDRESS
PLEASE CONFIRM EMAIL ADDRESS
CELL PHONE NUMBER
REQUESTED FHTC PASSWORD
Passwords Requirements:
- Between 8 and 20 characters long - Contain at least 1 lowercase letter - Contain at least 1 uppercase letter - Contain at least 1 number - May contain the following special characters: $ @ ! % * ? & # ^ ( ) . < > { } ` ~ ' " + _ -
PLEASE CONFIRM FHTC PASSWORD
HAVE YOU PREVIOUSLY ATTENDED FLINT HILLS TECHNICAL COLLEGE?
This includes classes or workshops which you may have taken several years ago
MAILING ADDRESS
STREET ADDRESS
CITY
STATE
ZIP CODE
COUNTY
COUNTRY
PERMANENT ADDRESS