Before creating or accessing your account we must search our system for prior records.  Please enter in the following information so we can create or access your account.   Your name must appear exactly as it appears on your valid state ID. If you do not have a Social Security Number or previously assigned number beginning with a "T" or "P", Click Here
*Last Name:
**Social Security Number  or previously assigned file number:
**Confirm Social Security Number  or previously assigned file number:
*Date of Birth:	Month:  123456789101112  Day: 12345678910111213141516171819202122232425262728293031  Year: 20012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919
*Application applying for:
:	Candidate participating in an Educator Preparation Program
:	Educational Aide (First Time Applicant)
:	Out of State Certified Applicant (First Time Applicant)
:	Out of Country Certified Applicant (First Time Applicant)
:	Temporary Teaching Certified Applicant (First Time Applicant)
:	Previously Certified
:	Principal Survey
	*Required Fields