Enter Personal Information     * Denotes Required Field
 
* First Name
* Last Name
* Email Address
* Re-Type Email Address
* Password
* Re-Type Password
* Address 1
Address 2
* City
* State
* Zip
* Country
Home Phone
(XXX-XXX-XXXX)
* Work Phone
(XXX-XXX-XXXX)
Cell Phone
(XXX-XXX-XXXX)
Education Level
Current Occupation
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Note: Upon enrollment and login, you will be required as a term of agreement to provide CCEI with your current center / school of employment as well as your Social Security Number. This information is required for the sole purpose of identity verification and transcript accuracy. This information is secure and per the CCEI privacy policy will be restricted to defined use. By continuing with your enrollment below, you acknowledge your agreement with these terms.