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All of the information below is required by the Department of Insurance / Department of Real Estate and will be randomly asked throughout the course to verify the identity of the student.

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**NOTE: THE NAME GIVEN ABOVE MUST BE YOUR LEGAL NAME, AND MUST MATCH THE NAME YOU USE TO APPLY FOR THE LICENSE**
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Questions in Bold AND Identity Questions Require an Answer.

* This is REQUIRED by the Department of Insurance to report your course hours.

Information regarding our Privacy and Security Policies can be found by clicking here.

After you complete the signup process, you'll return to www.mikeruss.org where you can LOGIN with the link in the upper right hand corner.