SETRAC EMResource/WebEOC training

Please complete all required fields. Failure to complete the appropriate fields will result in your account not being established and a future training date must be attended as accounts must be created in advance and NOT the day of the training.

What Day are you registering for?

Only choose the Special Class Registration if you were instructed to do so. Failure to select a proper date will result in notification errors. If you do not already have an account then 24-48 hours prior to the class you will receive an activation link from Juvare for your account set-up. A link for the training will also be sent 24-48 hours prior to the training.

Full Name

First NameLast Name

Phone Number

Area CodePhone Number

E-mail (must be a work-based email address)

Ex: john.doe@houstonmethodist.org (can not be GMail, Yahoo, ICloud, AOL, Hotmail, etc)

Job Title

Employer

SPECIAL NOTES: Memorial Hermann System please email emergency.preparedness2@memorialhermann.org. Dialysis Centers please visit the below link for account access: https://app.smartsheet.com/b/form/f9f8ea67056d4397baa9c6d1dac23b75

Which applications do you need access to?

Do you currently have a WebEOC Account

Do you currently have an EMResource Account

What is your username?

Example: JohnsonChris6772

Facility / Agency

SPECIAL NOTES: Memorial Hermann System please email emergency.preparedness2@memorialhermann.org. Dialysis Centers please visit the below link for account access: https://app.smartsheet.com/b/form/f9f8ea67056d4397baa9c6d1dac23b75

Name of your Direct Supervisor

Single or Multiple Facilities

Provide four numbers

These cannot be sequential. These digits will be part of your user name (i.e DoeJohn2468)

E-mail of your Direct Supervisor

If you selected EMResource, what access level is needed?

Update: Ability to change the status of a facility and run reports.

View Only: Has access, but unable to change the facility status or run reports.