Online Primer Enrollment Group Request

Before completing this form, please read and save this document for more detailed information about the Enrollment Group Process.

Only the individual overseeing the group should submit this form.

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Do you have an existing SHEA account? *

Yes

Before you can submit an Enrollment Group request, please make sure that you have created an account with SHEA.

New accounts can be created here. This will open a new window for you. Once you have created an account, return to this page, click "Yes" and continue following the instructions. Do not submit the form if you selected "No".

Administrator name: *

Administrator email: *

Please provide the email associated with your SHEA account

Name of your Enrollment Group: *

Please enter a name for your Enrollment Group.

Description of Enrollment Group: *

This description will appear on your Enrollment Group homepage. It is what you and your learners will see on the Enrollment Group homepage. Enter N/A if you will not have a description.

Leave this field blank

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Online Primer Enrollment Group Request