Enter Personal Information     * Denotes Required Field
 
* First Name
* Last Name
* Email Address
* Re-Type Email Address
* Password ?
* Re-Type Password
* Home Address 1
Home Address 2
* Zip/Postal Code
* Country
* City
* State/Region
Home Phone
(XXX-XXX-XXXX)
* Work Phone
(XXX-XXX-XXXX)
Cell Phone
(XXX-XXX-XXXX)
*  Are you employed? Yes No
*  Do you work at a day care center or school? Yes No
*  Are you a member of your state registry? Yes No
Education Level
Current Occupation
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Login Validation:
Note: Upon enrollment and login, you will be asked to provide CCEI with your current center / school of employment as well as your Social Security Number. This information is strictly voluntary and is used for the sole purpose of identity verification and transcript accuracy. You will be given an opportunity to "opt-out" of providing this information if you choose to do so. This information is secure and per the CCEI privacy policy will be restricted to defined use. By continuing with your enrollment below, you acknowledge your agreement with these terms.