K-12 Enrollment

Please fill out this form in its entirety to enroll in our PTCB-recognized Pharmacy Technician Education Program. Your school should have supplied you with a group code to enter on this form, which will allow you to enroll under the group contract. Upon completion of this form, you will be enrolled in our course and will have access using the Username and Password that you set in the form.

"*" indicates required fields

Personal Information

Name*

Email*

Username*

This will be the User ID that you use to log into the course.

Password*

Enter Password Confirm Password

Strength indicator

This will be the password to be used along with your Username to log into the course. You must enter a password that is at least 12 characters long and reaches a strength indicator of “strong”. Try using phrases that you can remember easily but would be hard for others to guess.

Terms of Use

Organization Key Code*

This field is for validation purposes and should be left unchanged.