Skip survey header

Instructor Account Request

Please follow the steps below to request additional instructor

If your course still needs to be created in Shadow Health, please fill out a course creation form. Otherwise, follow the directions below.
Should look similar to August2015-6012-9485-7900-0467
2. Please select your Instructional Designer/trainer.
3. Enter the information of any other instructor(s) who will need access to this Shadow Health course. If you type 'Yes' for an instructor in the training column, they will be sent information on different training options.
Space Cell First NameLast NameEmailType \'Yes\' or \'No\' if instructor needs training
Instructor #1 *This question is required
Instructor #2
Instructor #3
Instructor #4
Instructor #5
Instructor #6
Instructor #7
Instructor #8
Instructor #9
Instructor #10
4. Please enter your information below in case we need to contact you with follow up questions about this instructor's account. *This question is required.
This question requires a valid email address.
This question requires a valid number format.