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:	10/12/2024 4:58:26 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.