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Self Registration Form

Everyone who self-registers into the system is required to complete the Self-Registration form. All of the fields marked with an asterisk (*) are mandatory fields and must be completed before continuing with the registration process.

Below you will find instructions on how to complete each of the data fields. Each learning community may set up these fields differently, depending upon need. We recommend all fields be completed. Click the Next button when you are satisfied with your entries.

Taking Action

First Name	Enter your first name
Last Name	Enter your last name
Nickname	Enter the name you want to use during the Chat sessions.
Email	Enter the email address where you wish to be contacted by other users in your learning community.
Username	Create a username such as your first initial and full last name. The username you create here will be used each time you login.
Password	Enter a new password of any length.
Confirm Password	Re-enter the same password.
Password Challenge	The Password Challenge is used to prevent others from resetting your password, through the Forgotten Password link, and entering into the system under your name. Enter a question only you can answer. If you do not enter a question, the system will prompt for your email id as a default question if you forget your password.
Password Response	Enter your answer to the question above.
Address,City, State, County, Zip	Enter your work address, city, state, country or zipcode.
Additional Fields	Each learning community may set up additional fields to facilitate enrolling you into offerings or for reporting purposes. For example, you may be requested to enter your job title or passwords into other distance learning technologies.