Center for Addiction Recovery Training
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. 
Region Information
Please indicate your Region and role from the options below.
(Select the Region 1st, the Region will then populate the Who are you!)
You must select a Who are you
*Region
*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.