New User Registration – Welcome to the Training Portal

"*" indicates required fields

Name*

First Last

Date of Birth*

Email(Personal Email Preferred)*

Enter Email Confirm Email

Contact Phone Number*

Do you have a PID?*

Yes

This is for reporting to TCOLE for Continuing Education Training Course Hours

PID Number

In order to recieved TCOLE credit you must have the correct TCOLE PID(Personal Identification Number) entered for your account.

Agency*

IF OTHER IS CHOSEN AS YOUR AGENCY, PLEASE TYPE HERE:*

Supervisor Name*

Supervisor Email*

This field is hidden when viewing the form

Agency Billing Name

First Last

This field is hidden when viewing the form

Agency Billing Address

Street Address City State / Province / Region ZIP / Postal Code

This field is hidden when viewing the form

Agency Billing Email

This field is hidden when viewing the form

Agency Billing Phone

Division*

Username(Match Email)*

Password*

Include numbers, capitals, special characters (@, #, *, etc.) Must be "strong" (10 characters minimum)

Enter Password Confirm Password

Strength indicator