Create New Account

Note: You must be a UAIC Tribal Member to create an account.


First Name: 

Last Name: 

Date of Birth: 

Email Address: 

Phone Number: 


Create Username: 
*Must be at least 5 characters and contain at least one uppercase letter and a number 


Create Password: 
*Cannot be your name 


Confirm Password: 



*submission button 
A confirmation email will be sent the email that you provided. 


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