EXACT E-learning Portal Registration

Practice Name *

Practice ID (Leave blank if not known)

Your Team will be added to our E-learning Portal as a ‘Learning Group'.

We will set up an E-learning Team Leader for the group, who can assign courses, manage users, and track e-learning progress. This can be the practice manager, or their nominated staff member.

First Name (E-learning Team Leader) *

Last Name (E-Learning Team Leader) *

Email (E-Learning Team Leader) *

How long has your practice been using EXACT? *

We have not started using EXACT yet

Less than 3 months

More than 3 months

Register Your Team

All staff members must have their own email address. You do not need to list the team leader here again.

	First Name	Last Name	Email address**
E-learner 1	First Name	Last Name	Email address**
E-learner 2	First Name	Last Name	Email address**
E-learner 3	First Name	Last Name	Email address**
E-learner 4	First Name	Last Name	Email address**
E-learner 5	First Name	Last Name	Email address**
E-learner 6	First Name	Last Name	Email address**
E-learner 7	First Name	Last Name	Email address**
E-learner 8	First Name	Last Name	Email address**
E-learner 9	First Name	Last Name	Email address**
E-learner 10	First Name	Last Name	Email address**

Please submit two registration forms if you wish to register more than 10 people