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User name is your email address.
Welcome Good Samaritan Society employees!
It is recommended you create an account using your Good Samaritan email address. If you do not have one, a personal email may be used.
* Required Field
*
First Name:
*
Last Name:
*
Email Address:
*
Employee Number/ID
*
Date of Birth
*
Last 4 Digits Social Security Number
*
Position:
Good Samaritan Society Employee
*
Username:
* Passwords must contain alpha
and
numeric characters.
* Passwords must be 6 - 20 characters.
* Passwords cannot have leading or trailing spaces.
* Passwords cannot be the same as the Username, User ID, or email address.
*
New password
*
Confirm password
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