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Generate an Online Registration Account

NOTE: To register for a class you must be a State of Texas employee, and you must create a user-id. Please complete the blanks below. Required information is indicated with an asterisk. If you are not a State of Texas Employee, or if you have questions about the form, please contact Michelle.Hammett@sorm.texas.gov.

* Required Fields



Form of Address*
First name*  
Middle name
 
Last name*  
Suffix ex:"Jr."  
Title  
Email Address*
Work Phone Number* xxx-xxx-xxxx       Ext:
Fax Number xxx-xxx-xxxx
Work Address1* Special Characters Are Not Allowed.  
Work Address2 Special Characters Are Not Allowed.  
City*
State Texas
Zip*
Type of Address*  
Agency*