Create New Account

* denotes required field.

YOUR INFORMATION
Please enter the following information about yourself.

First Name: *

Middle Name:

Last Name: *

Employer:

Job Title:

Address Line 1: *

Address Line 2:

City: *

Country: *

State / Province / Region: *

Zip / Postal Code: *

Phone Type

International

Phone Number

Extension

Primary Phone:
Note: Phone number is required to
pay online via your checking account

Alternate Phone 1:

Alternate Phone 2:

Alternate Phone 3:

E-mail Address: *

Verify E-mail Address: *

Date of Birth: (mm/dd/yyyy)

How may we contact you: *

E-mail

Postal Mail

Both E-mail and Postal Mail

Do you require special
accommodations due to disability or religious reasons?

Yes

If so, please describe the
accommodations you require:

PLEASE NOTE: For special accommodations CPS requires a request in writing with your preferred location and exam date as well as your contact information. You must also attach a document signed by your clergy or doctor on their official letterhead specifically identifying the accommodation required. Send your official request to CPS, 2450 Del Paso Road, Suite 220, Sacramento, CA 95834. Please add the program name you are applying for under the company name. Please refer to the program website from the CPS HR homepage for specific contact information and instructions.

LOGIN INFORMATION
Enter your desired CPS account information.

User Name: *	**
Password: * (Password Policy)	**
Retype Password: *	*

Password Recovery Question: * *	Password Recovery Answer: * *

Enter the following code into the text box below: *

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