Online Training Username/Password Request

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I am aware that the online training username and password is reserved for NJ licensed resource parents only. By submitting this request, I am allowing Foster and Adoptive Family Services to create/reactivate my online username and password.

I am aware that the online training username and password is reserved for NJ licensed resource parents only. By submitting this request, I am allowing Foster and Adoptive Family Services to create/reactivate my online username and password.   Yes No

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FAFS will contact you via email ONLY. You will NOT receive a phone call regarding this request. PLEASE CHECK YOUR "IN-BOX" AND "SPAM-BOX" BEFORE RESUBMITTING THIS FORM. Please allow up to 24 hours for the system to process your request before resubmitting this form. Do you understand?

FAFS will contact you via email ONLY. You will NOT receive a phone call regarding this request. PLEASE CHECK YOUR "IN-BOX" AND "SPAM-BOX" BEFORE RESUBMITTING THIS FORM. Please allow up to 24 hours for the system to process your request before resubmitting this form. Do you understand?   Yes No

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Personal Informaiton

Personal Informaiton   First Name:
Last Name:
Address:
City:
State:
Zip Code:
NJ County:
Home Phone:
Cell Phone:

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Email Address:

Email Address:

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NJ Resource Family License Number:

NJ Resource Family License Number: