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Enter Username
Apostroph is not allowed in Registrant ID
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Required
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Enter Password
Password can contain letters, numbers and the following symbols: !@#$()
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Required.
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Enter confirm PasswordPassword don't match
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Required.
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Enter First Name
Numbers not allowed in First Name
Text 'First Name' not allowed
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Required
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Numbers not allowed in Middle Name
Text 'Middle Name' not allowed
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Enter Last Name
Numbers not allowed in Last Name
Text 'Last Name' not allowed
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Required
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Enter Home Address
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Required
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Enter City
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Required
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Please select State
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Required
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Enter Zip
Zip is not valid.
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Required
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Enter Primary Email
Primary Email should be in proper format.
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Required
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Confirm Primary Email should be in proper format.
Re-enter Primary Email
The Primary Email and Confirm Primary Email fields must match.
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Required
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If Applicable
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InvalidSchool Phone area code
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InvalidSchool Phone prefix
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InvalidSchool Phone suffix
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InvalidValue in School Phone Extension
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InvalidHome Phone area code
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InvalidHome Phone prefix
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InvalidHome Phone suffix
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Invalid Value in Home Phone Extension
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InvalidCell Phone area code
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InvalidCell Phone prefix
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InvalidCell Phone suffix
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InvalidValue in Cell PhoneExtension
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InvalidFax area code
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InvalidFax prefix
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InvalidFax suffix
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Invalid Value in Fax Extension
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Required for Educators
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Please select District/Entity
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Required for Educators
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Required for Educators
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Area of PA Certification (Level I or II)
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Please enter if applicable. Required for Act 48 processing.
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