|
|
|
Enter First Name
Numbers not allowed in First Name
Text 'First Name' not allowed
|
Required
|
|
Numbers not allowed in Middle Name
Text 'Middle Name' not allowed
|
|
|
Enter Last Name
Numbers not allowed in Last Name
Text 'Last Name' not allowed
|
Required
|
|
Enter Address
|
Credit Card Billing Address
|
|
Enter City
|
Required
|
|
Please select State
|
Required
|
|
Enter Zip Code
Zip Code is not valid.
|
Required
|
|
Enter Primary Email
Primary Email should be in proper format.
|
Please use email associated with SCR/SCECH account
|
|
Confirm Primary Email should be in proper format.
Re-enter Primary Email
The Primary Email and Confirm Primary Email fields must match.
|
Please use email associated with SCR/SCECH account
|
|
Please select County of Employment
|
Required
|
|
|
|
|
|
|
|
|
|
|
|
|
|
InvalidHome Phone area code
|
InvalidHome Phone prefix
|
InvalidHome Phone suffix
|
Invalid Value in Home Phone Extension
|
|
|
|
|
Required
|
|
Enter Work Phone area code
InvalidWork Phone area code
|
Enter Work Phone prefix
InvalidWork Phone prefix
|
Enter Work Phone suffix
InvalidWork Phone suffix
|
Invalid Value in Work Phone Extension
|
|
|
|
|
|
|
|
|
|
|
|
Are you required to obtain SCECHs to renew your Michigan Department
of Education issued certificate or license (professional education teaching certificate,
occupational education certificate, school guidance counselor license, school psychologist
certificate, school administrator certificate/continued employment)?
|
|
|
|
|
Enter Registrant ID
Apostroph is not allowed in Registrant ID
|
PLEASE USE PRIMARY EMAIL HERE
|
|
Enter Password
Password can contain letters, numbers and the following symbols: !@#$()
|
Required
|
|
Enter confirm PasswordPassword don't match
|
Required
|
|
|
|
|
|
|