New User Registration Form

Please fill in the following form to request access to our Member Center on the EPC website.  Only official EPC member school districts are granted access to the Member Center.  We will not create logins for Vendors.

We will review and approve your submission, at which time you will be able to log in to the Member Center

Please Note:  If you are attempting to sign up for Heatth Insurance this is NOT the correct website to do so.  Please call 937-890-3725 and ask for Cristi Goldshot or Ellen Lewis.


Login Information



First Name

Last Name

Job Title


Email Address