U Card Express Form
Email address *
First Name *
Middle Name
Last Name *
Street Address *
City *
State *
Zip Code *
Phone # *
Student ID *
Photo *
Send a passport-quality, color photograph of you alone, taken within the last six months. The photo should include your head from bottom of the chin to top of head (including hair). Photograph must be clear, front view, full face, taken in normal street attire without a hat,dark glasses or other accessories. Photo must have a solid single color background (easily accomplished by taking a photo in front of a solid color wall in your home). Please up load the photo file in .jpg format.
Required
A copy of your responses will be emailed to the address you provided.
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