Create Your La Puerta Account - Michigan Hispanic Collaborative

First Name (Required)

Last Name (Required)

Ethnicity (Required)

Race (Required)

Gender (Required)

E-mail Address (Required)

Username (Required)

Primary Number (Required)

Phone Type (Required)

Secondary Number

Phone Type

Street Address

City

State

Zip Code

Country

Create Password (Required)

Confirm Create Password (Required)

Account Type (Required)

Year joined MiHC (Required)

I am a MiHC Scholar (Required)

YesNo

Alma Mater (Required)

High School Name (Required)

Graduation Year (Required)

University Name (Required)

Cumulative GPA (Required)

Major (Required)

Degree Program (Required)

ACT Score

SAT Score (Required)

Parent/Guardian Email #1

Parent/Guardian Email #2

Parent/Guardian Email #3

Extracurricular Activities

Degree Obtained (Required)

Current Employer (Required)

Current Title (Required)

Professionals Organization Membership

Children's Name (Required)

Preferred Language

The Michigan Hispanic Collaborative is pleased to offer you access to La Puerta this summer.

By signing up with La Puerta and accessing my La Puerta account, I certify that I am over 13 years of age, and I agree to and have read the La Puerta Terms and Conditions, the La Puerta Privacy/Data use policy, and I agree to comply with COPPA .

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Michigan Hispanic Collaborative:
1420 Washington Blvd. Suite 301
Detroit, MI 48226

Michigan Hispanic Collaborative:
1420 Washington Blvd. Suite 301 Detroit, MI 48226