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
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