Please complete the following form to register. If you have already registered, enter your username and password above.

Our LEARN LMS requires that everyone – including people who have taken SRPHTC trainings in the past – establish themselves in the system. This includes completing demographic data that is compiled only for reporting purposes and not associated with individual users. Once you have registered in LEARN, the next time you log in with your user ID and password, subsequent event registrations will abbreviated and event specific.


* Required Fields

NOTE - By registering now, you will automatically be adding the following item to your list of trainings:

Emergency Public Health and Disasters Conference

If you do NOT want to add this training, click here.


First Name *  
Last Name *  
Degrees
Position *  
Agency *  
Division
Address *  
Address   
City *  
State*   
Zip Code *     
Work Phone   
Email *    This must be a valid email address  
 
Is this your first SRPHTC training/event? *
 
 

DEMOGRAPHIC INFORMATION (compiled only for reporting purposes, not associated with individual users)
Your Date of Birth: * Only Year is Required
Gender *  
Ethnicity *  
Race (check all that apply) *



Which of the following best describes your profession / occupational classification? *

 

Which is your employment location type? *

 
Employment Setting *
 

At which of the following sites do you regularly work? (check all that apply) *







  Username *
  Password *
  Password Confirm *     

*