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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: 12/16/2018 8:19:34 PM
Please indicate your reason for enrollment in eADAP






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.


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