ANA Massachusetts Continuing Education Approver Unit

User Registration Page

Instructions:

Please choose a Username that is eight characters or more and is related to you as an individual.
Do NOT use multiple words with spaces separating them. ***** Do NOT use the program name or the organization name for any part of the Username.
Please be sure to answer the last question about If you Are a NURSE PLANNER.
Please Note: Account Activation MAY take up to 48 hours. Please be patient with our Validation and Activation process.

Username: (Create one for yourself - all lowercase please)		This is the Login ID for the User (Real name is required below)
Password: (Must be between 8 and 50 characters in length Do NOT use punctuation or special characters)
Confirm password:
Email address:
Confirm email address:
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Real First Name:
Real Last Name:
Credentials:		Degrees and Certifications
Job Title:
Contact Phone:
Other Phone:
Nurse Planner: Are you a Nurse Planner?	YES NO
If you Are a NURSE PLANNER, you will be sent an email with an additional signature code that will be needed to submit any Activity Application that you are responsible for. (only one Nurse Planner signature code is required on each application)
* Move Slider Right to Unlock ... Then Click on the Register Button *

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