Emergency Management Credit Registration

Please Enter Your Details Below 
Please fill out the information below, then click "Continue" to proceed to the next step.

For questions or assistance, please contact Rachel Hischke at 920-465-2642 or 800-621-2313.

First Name
Middle Name
Last Name
Address
City
State
Zip Code
County
Lived at address since (mm/yy)
Home Phone
Work Phone
Cell Phone
E-mail Address
Employer
Position
Employed From/To (mm/yy)
= required field

For registration questions, please contact Rachel Hischke at 920-465-2642 or hischker@uwgb.edu