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Student Services
Add Student Information
* First Name
Middle Name
* Last Name
User Name
User name. This is the login name that you will use to access our system (It will be automatically created for you)
* Password (case sensitive)
Password (no more than 6 characters with 1 number)
Address 1
Address 2
City
State
Postal Code
Country
* School Code
School Code (Example Yxx000 or Xxx000, code given to you by your School of Nursing via ERI.)
Phone
Fax
* E-Mail Address
Email Address (All system messages, Lost Password Notifications, Lost Account Notifications, etc. will be sent to this account.)
* Degree Program
* Expected Graduation
  Expected Graduation-(anticipated date of graduation from nursing school)
Release Info
Yes
No 		Consent requested - (Release of NCLEX results to ERI is for statistical purposes only, your name will not be used.)
* - Required fields



Confidentiality Agreement: Information provided is for Educational Resources, Inc. use only.
Registration Information is not shared with any outside agency or other vendor.

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