MAT Customer Service Help Request
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REGISTER ME for the Seizure Rescue Nasal Spray Online Course
I have not received my MAT Online Learning Center new account confirmation email
I have forgotten my password or username
All other issues or questions
ONLINE CERTIFICATE problems
For Administrators ONLY - Request New Account
For MAT Trainers ONLY - ADD PROGRAM
<div class="control-group ticket_section"> <div class="controls"> <label class="checkbox required"> <input type="checkbox" name="helpdesk_ticket[custom_field][cf_confcheck_57674]" id="helpdesk_ticket_custom_field_cf_confcheck_57674_4001273904" value="1" class=" required checkbox section_field" /> I have checked my SPAM email folder, and the confirmation email is not there </label> </div> </div>
<div class="control-group ticket_section"> <div class="controls"> <label class="checkbox required"> <input type="checkbox" name="helpdesk_ticket[custom_field][cf_forghint1_57674]" id="helpdesk_ticket_custom_field_cf_forghint1_57674_4001273905" value="1" class=" required checkbox section_field" /> I understand that my username is usually my email address, and I have tried that already </label> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_forgwhatsys_57674-label " for="helpdesk_ticket_cf_forgwhatsys_57674">What are you trying to access?</label> <div class="controls "> <textarea class=" required paragraph section_field span12" rows="6" placeholder="" name="helpdesk_ticket[custom_field][cf_forgwhatsys_57674]" id="helpdesk_ticket_custom_field_cf_forgwhatsys_57674"> </textarea> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_otherdesc_57674-label " for="helpdesk_ticket_cf_otherdesc_57674">Please describe your issue or question:</label> <div class="controls "> <textarea class=" required paragraph section_field span12" rows="6" placeholder="" name="helpdesk_ticket[custom_field][cf_otherdesc_57674]" id="helpdesk_ticket_custom_field_cf_otherdesc_57674"> </textarea> </div> </div>
<div class="control-group ticket_section"> <label class=" required control-label cf_ocprob2_57674-label " for="helpdesk_ticket_cf_ocprob2_57674">My problem is:</label> <div class="controls "> <textarea class=" required paragraph section_field span12" rows="6" placeholder="" name="helpdesk_ticket[custom_field][cf_ocprob2_57674]" id="helpdesk_ticket_custom_field_cf_ocprob2_57674"> </textarea> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_ocdate2_57674-label " for="helpdesk_ticket_cf_ocdate2_57674">Date of Training: </label> <div class="controls "> <textarea class=" required paragraph section_field span12" rows="6" placeholder="" name="helpdesk_ticket[custom_field][cf_ocdate2_57674]" id="helpdesk_ticket_custom_field_cf_ocdate2_57674"> </textarea> </div> </div>
<div class="control-group ticket_section"> <div class="controls"> <label class="checkbox required"> <input type="checkbox" name="helpdesk_ticket[custom_field][cf_cdpaverif_57674]" id="helpdesk_ticket_custom_field_cf_cdpaverif_57674_4001382267" value="1" class=" required checkbox section_field" /> I understand that the MAT Program will independently verify my employment status before creating this new account. </label> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox required"> <input type="checkbox" name="helpdesk_ticket[custom_field][cf_cdpaemailc_57674]" id="helpdesk_ticket_custom_field_cf_cdpaemailc_57674_4001382267" value="1" class=" required checkbox section_field" /> I understand that I must provide a secure, working, individual (not shared) email account AND a direct phone number as contact information for this account </label> </div> </div> <div class="control-group ticket_section"> <div class="controls"> <label class="checkbox required"> <input type="checkbox" name="helpdesk_ticket[custom_field][cf_cdpachangec_57674]" id="helpdesk_ticket_custom_field_cf_cdpachangec_57674_4001382267" value="1" class=" required checkbox section_field" /> I agree to notify the MAT Program if this email address or phone number changes </label> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_cdpaindemail_57674-label " for="helpdesk_ticket_cf_cdpaindemail_57674">My secure individual email address:</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_cdpaindemail_57674]" id="helpdesk_ticket_custom_field_cf_cdpaindemail_57674" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_cdpapassword_57674-label " for="helpdesk_ticket_cf_cdpapassword_57674">ENTER a password for your account (and WRITE it down!)</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_cdpapassword_57674]" id="helpdesk_ticket_custom_field_cf_cdpapassword_57674" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_cdpname_57674-label " for="helpdesk_ticket_cf_cdpname_57674">My child day program's name</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_cdpname_57674]" id="helpdesk_ticket_custom_field_cf_cdpname_57674" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_cdpaddr_57674-label " for="helpdesk_ticket_cf_cdpaddr_57674">My child day program's STREET address (no PO boxes):</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_cdpaddr_57674]" id="helpdesk_ticket_custom_field_cf_cdpaddr_57674" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_cdpcity_57674-label " for="helpdesk_ticket_cf_cdpcity_57674">My child day program's city:</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_cdpcity_57674]" id="helpdesk_ticket_custom_field_cf_cdpcity_57674" /> </div> </div>
<div class="control-group ticket_section"> <div class="controls"> <label class="checkbox required"> <input type="checkbox" name="helpdesk_ticket[custom_field][cf_istrainer_57674]" id="helpdesk_ticket_custom_field_cf_istrainer_57674_4001383579" value="1" class=" required checkbox section_field" /> I am a MAT Trainer </label> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_progname_57674-label " for="helpdesk_ticket_cf_progname_57674">Name of this Program Location</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_progname_57674]" id="helpdesk_ticket_custom_field_cf_progname_57674" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_progaddr_57674-label " for="helpdesk_ticket_cf_progaddr_57674">Street Address of this Program Location</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_progaddr_57674]" id="helpdesk_ticket_custom_field_cf_progaddr_57674" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_progcity_57674-label " for="helpdesk_ticket_cf_progcity_57674">City of this Program Location</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_progcity_57674]" id="helpdesk_ticket_custom_field_cf_progcity_57674" /> </div> </div>
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