JW Rufolo and Associates, Inc. Portal

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Multiple Student Enrollment Form

Please use the following form to enroll more than one student in our system. Click the Add Another Student link under the student information to add another set of student details. The Student Address should be the same for all of the students. If you have a resume session code please enter it in the Session Resume Code box to the right.

Student Address

Organization	*	City	*
Address 1	*	State	*
Address 2		Zip Code	*
Phone	( ) - *	Send Welcome Emails to Students (recommended)

Student Information

	First Name*	Last Name*	Email*	Phone*	Username*	Password*	Verify Pass*	Language*
	Add Another Student
Enter the code below:
1				- - x
2				- - x

* = required field