eADAP Student Registration

Student ADAP Registration

Welcome to the Alcohol and Drug Awareness Program

This registration option is designed for teens that are home-schooled, attend a school that does not offer ADAP, have completed high school, pursuing or have obtained a GED.

Enrollee Information

Enrolled On:

7/27/2024 12:30:52 AM

Please indicate your reason for enrollment in eADAP

I am a home school student.

My school does not offer ADAP.

I am pursuing a GED

I have completed high school/obtained a GED.

Other

First Name:*

Middle Name:

Last Name:*

Suffix:

Date of Birth:*(mm/dd/yyyy)

Gender:*

SSN (Last four digits):*

Address:

City:*

State:

Zip:

Email:*

Confirm Email:*

Telephone Number:

(xxx-xxx-xxxx)

NOTE: All official correspondence, including eADAP usernames and passwords, will be provided electronically via e-mail.

Your certificate will contain a unique certificate # and PIN. If your parent/guardian would like to participate in the new Parent ADAP course, they will need both your certificate # and PIN along with their own certificate # and PIN.