The Identity Theft Council

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Registration

Welcome to our counselor registration page. Please complete as many of the fields below as possible. Your registration will have to be approved before you can access our online training and begin the counseling process and you will receive confirmation by email. We respect your privacy and will never share your information with others.

Your Contact Information

First Name:

Last Name:

Email:

Username:

Choose a Password:

Verify Password:

Daytime Phone:

Alternate Phone:

Employer:

Additional information

What city or community would you like to volunteer in? (include city and state) Include as many cities as you like, especially if you’ll be counseling by phone.:

How many hours do you think you could devote each month, approximately?:

Have you ever been charged or convicted of a crime?:

What additional skills or background do you think you can offer (financial, legal, law enforcement etc)?:

Would you like to invite your friends or colleagues to volunteer? (enter their email addresses):

Have you ever been a victim of identity theft?:

How did you hear about the program?:

What languages do you speak?:

What type of counseling would you prefer (check all that apply):

In person

By phone

By email

Online chat