Adult Orientation
Please fill the survey out in order to receive a username and password. The username and password will be used to log into your Collins e-mail account and to access your online course work on Moodle.
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First Name (Please list First name on record at Collins Career Technical Center) *
Last Name (Please list last name on record at Collins Career Technical Center) *
Middle Initial *
Are you a former Collins Adult Student within the last 2 years? *
What program are you currently in? *
Please create a password that has at least 8 characters and does not contain symbols. *
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