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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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Street, City, State, Zip
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Street, City, State, Zip
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Please select County of Employment
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Required
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Enter DOB
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Required
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Please select Ethnicity
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Required
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Enter Gender
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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 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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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)?
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Enter Username
Apostroph is not allowed in Registrant ID
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Required
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Required
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Enter Work Phone area code
InvalidWork Phone area code
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Enter Work Phone prefix
InvalidWork Phone prefix
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Enter Work Phone suffix
InvalidWork Phone suffix
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Invalid Value in Work Phone Extension
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Select Department
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Required
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