Welcome Education Fund Participants

Please complete the form below. After submission, you will receive a temporary password which you can use to log in to the system & take
as many classes as you’d like.

Please note: You are registering through Education Fund. You do NOT have to make a payment on cnaZone.com.
If at any time you are prompted for payment please write us by clicking here.
All the fields are required.

Please note: Your first name, last name and employee ID # must match what we have on file in order to register with Education Fund.
First Name

Last Name






Date of Birth (MM/DD/YYYY)

Cell Phone (Enter in this format: 555-555-5555)

Home Phone (Enter in this format: 555-555-5555)

Employee ID #

Date of Hire (MM/DD/YYYY)


Employer (Select a region first)

Facility (Select an employer first)

Union Representation

Union not in list? Other:  

Ethnicity (optional)

Job Classification

License Type

License Number

License expiration date