Registration
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Note: This Registration system only applies to Instructors. All the information you provide below will be viewable publicly in your profile. User verification and approval are checked for consistencies before account activation.

Thank You.

* This Field is required Information for: Credentials : Example: HTCP/I, RN, etc.
* This Field is required Information for: Certified Instructor : Please select one.
* This Field is required Information for: Certified to Teach : Select all that apply. If you are an instructor in training then you would select level 1.
* This Field is required Information for: First Name : Please enter your real first name.
* This Field is required Information for: Last Name : Please enter your real last name.
* This Field is required Information for: Email : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.
* This Field is required Information for: Username : Please enter a valid username. No spaces, at least 3 characters and contain 0-9,a-z,A-Z
* This Field is required Information for: Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required Information for: Verify Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
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Enter Security Code: * This Field is required Information for: Security Code: : Enter Security Code from image. If no image is present then try disabling your advertisement blocker and then refresh this page. Otherwise please contact the website administrator for assistance.
 
* This Field is required Required field | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon