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: 

 

 

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

 

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