Become a Member of the ERC

Please note that membership is restricted to Health Care Providers in Alberta

ERC Member Registration Form

Fields identified with an asterisk are mandatory


* First Name:
* Last Name:
* Regulated Health Provider: (eg: RN, PT, OT etc...):
* Non Regulated Health Provider: (eg: HCA, PCA, NA etc...):
	* Health Region:
* Facility
* Address:
* City:
* Province:
	* Postal Code:
	* Telephone No.:
	Fax No.:
	Cellular No.:
* Email Address (will become your login ID):
* Re-Type Email Address:
	* Password:
	* Re-Type Password:

PRIVACY NOTE: It is ERC policy to collect only personal information necessary to serve our clients most effectively. Data submitted is not stored electronically on any web site and is not used for any other purposes than for those expressed. If you have any concerns about submitting information electronically, please call the Education Resource Centre at (800) 432-1845.

Become a Member of the ERC

Please note that membership is restricted to Health Care Providers in Alberta

ERC Member Registration Form

Fields identified with an *asterisk* are mandatory

Fields identified with an asterisk are mandatory