Learn on Demand
Please create your account by completing the fields below.
* Indicates Required Field / Question
LearnOnDemand Registration Form
* Indicates Required Field / Question
Participant ID (This is your email)
First Name  *
Middle Name/Initial
Last Name  *
Are you CHES/MCHES certified?  *
 
Preferred Mailing Address
Address 01  *
City  *
State/Province  *
 
Postal Code  *
Country  *
 
Email  *
Phone
Phone Number
Is your hospital a member of the Arkansas Rural Health Partnership (ARHP)?  *
 
Organization/Company  *
The profession chosen below is the profession you will be issued credit under.
Profession  *
 
Credit Types Needed (select all that apply)
Degree
Gender
Ethnicity (select all that apply)  *