Username* Usernames cannot be changed. First Name* Last Name* E-mail* Password* Type your password. The password must have a minimum strength of WeakStrength indicator Repeat Password* Type your password again. Intern/License Information 0000License #/ Intern # include Prefix (SW, MT or MH): (If you do not hold a Florida Intern or License number, please enter 0000.)Human Check*Send these credentials via email.