Champions for Change: The Power of a Personal Story - IPUL's Self Guided Training - Short Form

Once you have registered,  you will be sent an email with your registration confirmation as well as a link so you can view the training later at your convenience - you will also be directly sent to the module. 

Save a bookmark to the module to be able to see it any time.
Information About You
PLEASE NOTE:
It's very important that you use exactly the same email address you are logged into the website with for this, otherwise things will not work as intended.  
Training Information
Incredibly Important Back End Stuff
(Hidden from person filling form, but needs to be set up when building the registration or everything will be for naught and you will spend several days trying to fix your data WITH WOE IN YOUR HEART AND A POX UPON YOUR HOUSE)

separate with semicolon and put in Default Value under Options
EXAMPLE
MCHB F2FHIC; PTI 

(THESE NEED TO MATCH SALESFORCE OR PAIN WILL RESULT)