IMPORTANT: TO REMAIN ACTIVE IN OUR DATABASE YOU MUST ENROLL IN AT LEAST ONE CLASS WITHIN THE FIRST 30 DAYS OF REGISTRATION.

If you have registered before, Please DO NOT re-register, if you simply forgot your password contact marzaga@emq.org

To begin accessing our website please fill out the registration form. Use the Tab Key to move between lines. All fields with * are required.

After you click the submit button, you will be able to proceed to the login page and begin enrolling for classes. Once you have enrolled into a course, you will receive an email confirmation confirming your attendance into the course/s

	Last Name * MI First Name * Home Phone * Work Phone * Mobile # Fax Email * Professional License Type None CAADAC Group Home Administrator LCSW MFT Psychologist Registered Nurse License Number Expiration Date Mental Health, Social Services or Foster Family Agency Name (if Applicable) * Agency or Home Address (Preferred Mailing Address) * City * State * Zip * UserName * Password * Qualification Category (Category that most closely describes your affiliation) --Select one-- CBO Mental Health Agency CBO Social Services Agency Childrens Group Home County Mental Health County Social Services Employee DFCS EMQ Contractors EMQ Intern EMQ Intern-non-stipend EMQ Mentor EMQ Temporary FFA Agency Foster Parent Instructor Not Affiliated with any category Other County Department Parent of child receiving mental health services University/College Student WVC or Mission College Affiliation * *Required Fields