The Florida Department of Children and Families
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New Student Registration

The information you provide here will enable us to maintain your certification information and identify ways to improve the rater certification system in the future. The Department of Children and Families is committed to safeguarding your information and respecting your privacy. View the Florida Department of Children and Families privacy policy for more details.

Your personal information will be used to generate a unique rater certification number that you will use on each functional assessment that you submit. This rater certification number provides assurance of your successful completion of the training. The confidential information will be maintained in a database operated by the Florida Department of Children and Families.

(* indicates a required entry - no dashes please.)
   
 
* User ID:
Do not use dashes or spaces.
 

Please supply a new password in the boxes below. Certified trainers, please provide a password for your student.

 
* Supply Password: *  Re-Type Password:
 
Please enter your name as it should appear on your certificate:
* First Name: * Last Name:
 
Please provide the following information regarding your current employer:
* Company Name:
Street Address:
* City: * State: Zip:
* Telephone (No dashes, please.): * Your Email Address:
 
Demographic Information:   Education Information:
Gender:   * Highest Level of Education:
 
 
* Specialty:   Degree Field/Major:
 
Note: Entering an incorrect value below may cause you to be unable to register as a student. Please do not enter or edit anything below unless you are a certified trainer.
Certified Trainers Only: User ID
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