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Account Information

(required)Email Address:

(required)Password: (12-29 characters with no spaces)

(required)Verify Password: (enter password again to ensure accuracy)

Personal Information

(required)Referral:

(required)First Name:

(required)Last Name:

(required)Permanent Address: (You will be asked for your Billing Address prior to payment.)

(required)City:

(required)State:

(required)Zip/Postal Code:

(required)Phone:

Employer:

Job Title:

(required)Birthdate: / / (mm/dd/yyyy)

(required)Gender:

(required)Ethnicity:

(required)Education Level:

Household Income:

Did you graduate from VCU?

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Are you in the military or a veteran?

Yes No

Have you previously taken a course with VCU CPE?

Yes No

Special Needs:

(required)Agree to Disclosure of Information:

VCU CPE works with a number of internal and external partners and third parties to deliver some of its events and educational offerings.

By registering, you consent to the disclosure of your name, address, email and phone number to these partners and third parties when applicable.

To determine if the course you are registering for falls into one of these types of partnerships, please refer to the bottom of the program specific information page.

Interest Areas Please check your interests:

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