Request Registration

Please use this form for initial registration and follow-up lists you wish to submit to be added to your group!

Work with your agency to identify the personnel you wish to register to the WASPC online training program.
For each, you will need to have full name (first and last) in addition to their agency e-mail address.

Complete the form below.
Upload the file you completed and you saved on your desktop.
Submit the form.
We will upload your participants and forward an e-mail with credentials through our system. Please be sure to check your SPAM folder.

AGENCY INFORMATION
What is the name of your agency?*
What is your name?*
First Middle Last
What is your Email address?*
What is your phone number? Example (###) ###-####*
WHO WILL SERVE AS YOUR AGENCY'S REPRESENTATIVE ON THE WASPC ONLINE TRAINING PROGRAM TO ADD PARTICIPANTS AND GENERATE REPORTS?
Group Leader # 1 Name*
First Middle Last
Group Leader # 1 E-Mail*
Optional – Group Leader # 2 Name
First Middle Last
Optional – Group Leader # 2 E-Mail
For agencies that have received permission from WASPC to have more than 2 Group Leaders, please submit up to additional 13 names below (example – Mitch Jones, mjones@abc.org)
UPLOAD FILE
File Upload*
Max. file size: 128 MB.
Please upload your excel sheet template with completed list of participants for your agency.
Comments
This field is for validation purposes and should be left unchanged.