SkillUp / Metrix Self Directed Program

Registration

To register for access to Metrix Learning, please fill out the fields below.

(Fields marked with a * are required)

First Name: *
Last Name: *
Email Address: *
County: *
City: *
State: *
Zip: *
Counselor Name:
Referred By: *
Would you like a counselor to contact you for additional assistance?: *	Yes No

Veteran Status:
Race/Ethnicity:
Disability Status:
Gender:
Date of Birth:
Employment Status:
Youth Build:
Preferred Language:
I have read and understand the Metrix Learning System Policies.

	(To reduce the amount of spam, please provide the answer to the following question)
Is Ice Hot or Cold?



NOTE: Check your email (spam folder too) for your assigned username and password.