Register Account InformationDisplay Name(eg John & Jane Smith)* Username* E-mail Address* Password* Confirm Password* Profile: Location InformationAddress Line 1* Address Line 2 City* State/Province*Other (outside Canada/US)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingOntarioQuebecBritish ColumbiaAlbertaManitobaSaskatchewanNova ScotiaNew BrunswickNewfoundland and LabradorPrince Edward IslandNorthwest TerritoriesNunavutYukonInternational Province/Region ZIP/Postal Code Country*AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia, Plurinational State ofBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, the Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuela, Bolivarian Republic ofViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweProfile: Trainers' InformationTrainer 1 First Name* Trainer 1 Last Name* Trainer 1 Birthdate Trainer 1 Gender*MaleFemaleTrainer 1 Race/EthnicityWhite or European AmericanBlack or African AmericanHispanicAsianNative American or Alaska NativeNative Hawaiian or other Pacific IslanderMiddle Eastern or North AfricanTrainer 1 Email Trainer 1 Cell Phone Number Trainer 1 Place of Employment Trainer 1 Job Title Trainer 1 Employment Statusn/aContractPart TimeFull TimeTrainer 1 Highest Level of EducationSome high school, no diplomaHigh school graduate, diploma or the equivalent (for example: GED)Some college credit, no degreeTrade/technical/vocational trainingAssociate degreeBachelor’s degreeMaster’s degreeProfessional degreeDoctorate degreeTrainer 1 Personal Website/Blog Trainer 1 Twitter Username Trainer 1 Facebook Account Trainer 1 Instagram Username Trainer 2 First Name* Trainer 2 Last Name* Trainer 2 Birthdate Trainer 2 GenderMaleFemaleTrainer 2 Race/EthnicityWhite or European AmericanBlack or African AmericanHispanicAsianNative American or Alaska NativeNative Hawaiian or other Pacific IslanderMiddle Eastern or North AfricanTrainer 2 Email Trainer 2 Cell Phone Number Trainer 2 Place of Employment Trainer 2 Job Title Trainer 2 Employment Statusn/aContractPart TimeFull TimeTrainer 2 Highest Level of EducationSome high school, no diplomaHigh school graduate, diploma or the equivalent (for example: GED)Some college credit, no degreeTrade/technical/vocational trainingAssociate degreeBachelor’s degreeMaster’s degreeProfessional degreeDoctorate degreeTrainer 2 Personal Website/Blog Trainer 2 Twitter Username Trainer 2 Facebook Account Trainer 2 Instagram Username Profile: Family InformationReligion Place of Worship Ministry/Nonprofit Name Ministry/Nonprofit Website Ministry/Nonprofit Facebook Account Ministry/Nonprofit Twitter Account List the last several trainings you have done in your community with a brief description of the type of training you did. (Even if it was not an ETC parent course)Year of First Adoptive/Foster Placement* Name(s) of Child(ren)*How did the children enter your family? Example: Birth, Adoption, Foster Care, Kinship, etc* Only fill in if you are not human Login
