ETS

Contact Information:
All fields in gold or * are required.

STOP! If you do not have instructions for creating your training account, please request a copy from your Agency coordinator. You must have your EPICS number to create a training account and receive credit for training. Do not proceed without instructions. Your EPICS number can be found on your paystub or in ENOD. Please see these examples: paystub or ENOD to locate your EPICS Number.

First Name:	*	Address 1:
Last Name:	*	Address 2:
EPICS Number:	* (Please see the paystub or ENOD examples for locating your EPICS Number.)	City
		State, Zip-Code
		Phone Number:	- - *

Username:	* (Your Username is your e-mail address.)	Password: Verify Password:	* *
Access Level:	*	Training Class:	State Agency Higher Education WVARNG Emergency Card

ETS

Contact Information: All fields in gold or * are required.

Contact Information:
All fields in gold or * are required.