New account

Username (lowercase only)

The password must have at least 8 characters, at least 1 digit(s), at least 1 lower case letter(s), at least 1 upper case letter(s), at least 1 special character(s) such as *, -, or #

Password

Email address

Confirm email address

First name

Last name

City/town

Country

Are you employed by a school district?

Which district are you employed by?

Are you licensed by KSDE?

Enter KSDE license number - If none, enter N/A

Position/Role

If other, specify here

Are you a non-KSDE licensed professional?

Licensing agency

License type

License number

Do you hold a certification from an accrediting organization?

Certification type

Accrediting organization

Required

Participant Identification