Subscriber Registration

EOT&TA is pleased to introduce a new streamlined registration process. The new subscriber interface registers your information with EOT&TA, creating a user profile and password. This will allow you to login from anywhere and register for training and technical assistance with a few clicks of the mouse. Your subscriber profile will also provide you with access to past training receipts, notifications when training becomes available in your area, EOT&TA newsletters, mailings, brochures, and much more. Additionally, Early On Coordinators and referral personnel can gain access to registration reports and 1800EarlyOn referral reports.

So what are you waiting for?

Subscriber Form

Login Information:

First Name:

Last Name:

Email Address:

Password:

(5-10) characters

Re-Enter Password:

(5-10) characters

To verify your identity should you forget your password, select and answer a question:

Question:

Answer:

User Information:

Title:

Organization:

What programs do you work for?
(check all that apply)

Service Area:

Address:

City:

State:

Zip:

Work Phone:

- - Ext.

We only use your Alternate Phone for cancellation and emergency purposes:

Alternate Phone:

- - Ext.

Billing Information:

Check if the information is the same as above.

Billing Name:

Organization:

Billing Email Address:

Billing Address:

City:

State:

Zip:

Additional Information:

PIC Number:

We’re preparing our system to sync with MiRegistry. If you have a MiRegistry ID number, please enter it here. Your MiRegistry ID number can be found on the right-hand side of the "My Personal Profile" page once you have logged into MiRegistry.org.

MI Registry ID Number:

Special Accommodations:

Dietary Needs:

Subscription Information:

Please check the items you would like to receive from EOT&TA:

Notify me of trainings in my area.

Email Newsletters.