Spouse Registration

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Are you a New Student at ICD? *

Yes

Zip Code *

Registration

Apartment - If No Apt-put NA *

SPOUSE REGISTRATION INFORMATION

Please choose the COURSE CREW From The Flyer *

A&C

B&D

8 Hour

Student's Name - First, Last *

(Union Member-Spouse) Union Status *

Active Union Member

Retiree

Diversified

Student's Mailing Address - Home or P.O. Box *

Student's Birthday *

(Union Member-Spouse) First, Middle & Last Name *

City & State *

(Union Member-Spouse) Hire Date *

Student's Gender *

Male

Female

If registering for two classes, please complete two registration forms and select first or second choice.

First Choice Class

Second Choice Class

(Union Member-Spouse) Clock Card Number *

(Union Member-Spouse) Crew *

8 Hour

(Union Member-Spouse) Department Number *

Please Note: After you have clicked on the SUBMIT button,
scroll up to the top of the Page
to see the "Successful Registration" notice.

Thank you for submitting the registration form!

Student's Phone Number *

Form Submission *

When you click Submit, your registration form is sent to ICD. You will receive an email confirming your enrollment the week prior to the start of the class. Thank You!

CHOOSE THE COURSE NAME *

Student's Email Address *

View Class Flyers

Note:Fields with this*symbol can’t be left blank or the 'SUBMIT’ button will not work. Thanks!

Thank you for submitting your registration form for a class! This notice confirms that your registration form has been sent to ICD. You will receive an email confirming your enrollment, the week prior to the start of class. Thank You!

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