Register – Bayside CEU

Partner Access

Already have a BaysideCEU account, and want to join a Group?

Log in and click Edit Profile to add a Group Key to your current account.

Key

Are you employed by a corporate partner? If you received a Key from your organization, please enter it here.

Valid Keys contain a combination of 10 lowercase letters and numbers. Access Codes are no longer accepted.

About You

Name(Required)

First Last

Username(Required)

Select a username. You will be able to log in with either your username or primary email. If you do not specify a username one will be assigned to you.

Password(Required)

Enter Password Confirm Password

Strength indicator

Primary Email(Required)

Enter Email Confirm Email

Secondary (Alternate) Email

Often students find it useful to register a backup email in case they change jobs and lose access to their original email address.

Daytime Phone(Required)

Evening Phone

Address Line 1(Required)

Address Line 2

City(Required)

State(Required)

ZIP(Required)

Date of Birth

Professional Information

Are you licensed?(Required)

If not fully licensed or only provisionally licensed as an intern, please answer 'No'.

Yes

State of Licensure(Required)

License Type(Required)

License Number(Required)

(PLEASE START with the letters preceding your license number (e.g. RN33345))

Renewal Date(Required)

You selected 'Other' above. Please enter your License Type here:(Required)

Would you like to add another License?(Required)

Yes

State of Licensure(Required)

License Type(Required)

License Number(Required)

(PLEASE START with the letters preceding your license number (e.g. RN33345))

Renewal Date(Required)

You selected 'Other' above. Please enter your License Type here:(Required)

Would you like to add a third License?(Required)

Yes

State of Licensure(Required)

License Type(Required)

License Number(Required)

(PLEASE START with the letters preceding your license number (e.g. RN33345))

Renewal Date(Required)

You selected 'Other' above. Please enter your License Type here:(Required)

By clicking ‘Register’ you agree that you have read and accept the Customer Agreement.

Name

This field is for validation purposes and should be left unchanged.