Center for Addiction Recovery Training Public Catalog 
New Instructor Registration
An email will be sent to the email address entered below with your login details upon completion of the registration!
*required field
Person Information
*First Name
 
Middle Initial
*Last Name
 

Employee ID/Registry #
*Address
 
*City
 
*Country/State
*Zip Code
 
*Email Address
   
*Re-Enter Email Address
     
*Phone Type
*Phone Number
Ext. 
 
State Information
Please indicate your State and role from the options below.
(Select the State 1st, the State will then populate the Who are you!)
You must select a Who are you
*State
*Who are you
*Primary Title

*Grade
User Information - Username/Password
*Username
*Password
 
*Re-Enter Password
   
Review - Final Confirmation
Congratulations, you have registered successfully!
Thank you for creating a new account! You can now register for a class.