Please complete this form to activate your log in for MyDelta. First Name * Last Name (Family) * Delta Student ID * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Contact E-mail Address * In what way(s) do you prefer to be contacted? * Mobile Text (SMS) E-mail Cell Phone Number * Please provide phone number with Area Code CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 7 + 1 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.