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*First Name:
*Last Name:
Preferred Name:
*Section:
*CHum 220 ID:
*CHum 220
Password:
(Your CHum 220 ID can be the same as your RouteY ID. Your CHum 220 Password must be at least 6
characters long and contain 3 of the following: Uppercase letter, lowercase letter, number, or symbol.
DO NOT USE YOUR RouteY PASSWORD!)
Phone #:
Preferred Email:
Male Female
Spouse's Name:
Hometown:
State/Country:
Previous Programming Experience:
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