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Computer Class/Open Lab Registration
Students participating in SERRC-TLC Computer Classes or Open Lab should complete registration form
Today's Date *
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Last Name *
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First Name *
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Birthdate
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Phone Number
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Email
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Ethnicity (check all that apply) *
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Employment Status *
Student Goal (Check all that apply) *
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Current Status (Check all that apply - this helps us to better understand populations served) *
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I am here today to: *
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