Website Account Request Form - Form ID 131

 
 
 Website Account Request Form 
To request an account on our Web site, please fill in the following form. You will be notified by email when your account has been established. Once you have an account, you can also sign-up for e-mail or mobile alerts by using the My Account Section. You will need to be logged in to update your new Account Setings. Please allow for at least one business day before your account request will be processed.

 
1.
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We want this site to be compliant with federal law under the Children’s Online Privacy Protection Act (COPPA). Please enter your birth date so we can confirm that you are at least 13 years old. Your birth date information is collected only to validate your age and is not stored.
The value must be less than or equal to 03/27/2000.
  Select Date
mm/dd/yyyy
   
2.
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User Role Box: Check at least one role that applies to you.
Select at least 1 and no more than 1.
 
  
  
  
  
  
  
  

    
   
3.
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4.
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6.
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Please select the District-School Building that will be associated with your new account.
If you are requesting a Distric Administrator type account, select the District and Building combination of your district's High School.
If you are requesting a Faculty/Staff type account, select the District-Building combination of your school site.
If you are requesting a Parent type account and have students in more than one school, select the lowest level District-School combination for your home District.
 
   
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8.
If you selected District Teacher for question 2, please check the grade levels that pertain to your subject areas.
 
               
Select Grade Level(s)              
   
9.
If you are a District Teacher, please enter your subject area(s).
 
   
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12.
Use this textbox if your street address is a multi-line address
 
   
13.
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14.
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Enter the 2 character state abbreviation
 
   
15.
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Enter the zip code
 
   
16.
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17.
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Your email address will be used as your username when/if your account is added to our system.
 
   
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 Done  Cancel