National RTAP Portal > Agency Request Form

National RTAP Portal

Agency Request Form

Dear Agency/Organization Management:

Please use this form to add your agency/organization as a learning team to National RTAP eLearning. Required fields are marked with a red asterisk. Click Submit at the very bottom of the page once you have finished.

Once you submit the form, you will be contacted within approximately 2 business days with your own account information and your team's Access Code, so you can start adding learners to your team. Please do not create an account in the meantime as we recommend waiting to create any new user accounts until you have been provided with a team Access Code.

Please read the Team Admin Getting Started Guide for more detailed information about this process and the other admin functions of the LMS. If you have any questions, please email elearning@nationalrtap.org.

First Name:*

Last Name:*

Email Address:*

Job Title:*

Organization/Team Name:*

Street Address 1:*

Street Address 2:

City:*

State:*

Postal Code:*

Country:

Telephone:*

Website:

Approximately how many learners will need access to the system?:*

Is the organization part of a federally recognized tribe?:*

Organization Type:*

What is your service area? (check all that apply):*

Urban
Small Urban
Rural
Tribal
Other

What is your transit type?:*

If you provide transportation, how many transit vehicles are in your fleet?:

Approximately how many passenger trips do you provide each year?:

Submit