Training Account Request Form

You may use this form to request the creation of a training account in the learning management system. Requests will typically be fulfilled within one business day.

What type of training access do you require?

Please provide the following information:

First Name *This question is required.

Last Name *This question is required.

Email Address *This question is required. This question requires a valid email address.

Phone Number *This question is required.

Format: 555-555-5555

Institution / Agency *This question is required.

Which SIAAB Course would you like to access?

*This question is required.

HR2 Account Information

Submitter Name

Submitter Email This question requires a valid email address.

User First Name

User Last Name

User Email Address This question requires a valid email address.

User UIN This question requires a valid number format.

HR2 UIN This question requires a valid number format.

HR2 NetID

What training completion records need to be added to this account?

Please provide the following information

*This question is required.

First Name

Last Name

Email This question requires a valid email address.

Phone Number

Institution / Agency

What training do you need to access?

UIC Please provide the following information

*This question is required.

First Name

Last Name

Email This question requires a valid email address.

Phone Number

Job Title

Institution / Agency

City

State