FREE
Lumens Outreach Home MSU Billings Contact Us
Last ViewedLine spacer image
Shopping Cart  
 
 

Profile Add
Please update the relevant information in your profile.

* denotes required information.

Profile

* Username: minimum 6 characters
Password: minimum 8 characters, must contain a number
and any two of the following three: upper case, lower case,
special characters (for example: (){}!@$%^&*)
*
*
*
*
*
 Maiden Name
*
*
*
*
*
County*
County of residence
*
 
   
  
Additional phones
 
   
 Ext 
 
 
   
 Ext 
 
 
   
 Ext 
*
*

Preferences

Mail preference
May we include you on our mailing lists?
Yes No
E-mail Preference* Yes No
Receive course related info via e-mail?

Demographics

Birthdate*
mm/dd/yyyy
Gender* Female Male
Employer/School*
How did you hear about us?*
Employee Yes No
Are you an MSU-Billings Employee?
Have you lived in Montana for the past 12 months?* Yes No
Educational Level*
Ethnicity
U.S. citizen* Yes No
Are a citizen or legal resident of the United Stat

Academic Info

Distance Learning Site
Please select one of the following:*
Does your parent or legal guardian claim you as a federal income tax exemption?* Yes No
If yes, indicate parent or legal guardian state of residence.
Previous Names
Proposed Major
Previously Attended MSU Billings* Yes No

MSU Billings Downtown