Transcription of BELLINGHAM TECHNICAL COLLEGE Registration Form
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BELLINGHAM TECHNICAL COLLEGE Registration Form
Item # Class Start Date BELLINGHAM TECHNICAL COLLEGE Registration Form Today s Date Legal Last Name Legal First Name Middle Initial Previous Name Birth Date Mailing Address Street City State Zip Code Student ID Number (SID) Your social security number is confidential and, under a federal law called the Family Educational Rights & Privacy Act, the COLLEGE will protect it from unauthorized use and/or disclosure. In compliance with state/federal requirements, disclosure may be authorized for the purpose of state and federal financial aid, tax credits, academic transcripts, assessment or accountability research. Email: Website: 3028 Lindbergh Ave., BELLINGHAM WA 98225 Registration Phone (360) 752-8350 / FAX (360) 676-2798 Name of high school attended: _____ Is this high school in Washington State? Yes No Did you graduate? Yes No What year did you last attend?
Item # lass Start Date BELLINGHAM TECHNICAL COLLEGE Registration Form Today’s Date Legal Last Name Legal First Name Middle Initial Previous Name irth Date Mailing Address—Street ity State Zip ode
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