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Are you employed by a WY school district, a WY accredited institution, a WY postsecondary school, or other WY education organization?
Are you employeed...?
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User Information
Prefix
--Select--
Dr
Miss
Mr
Mrs
Ms
Pastor
First Name*
First Name
Middle Name
Last Name*
Last Name
Suffix
Preferred First Name
Preferred First Name first character should not be a special character
Primary Title*
Primary Title
Primary E-mail*
E-mail
Invalid format for E-mail
Alternate E-mail
Invalid format for E-mail
Date of Birth*
Invalid Date of Birth
Date of Birth
Former Last Name
Gender*
Gender
Male
Female
WDE Employee ID*
WISE Staff ID*
WISER ID should be 8 digit number.
Responsibilities
Responsibilities should accept upto 2000 characters only.
User Type
LEA
SEA
Other
Phone Information
Phone*
Invalid Phone Number Part 1
Invalid Phone Number Part 2
Invalid Phone Number Part 3
-
-
EXT
Phone Type
Select Phone Type
--Select--
Primary Phone
Alternate Phone
Cell
Fax
Toll Free
Address Information
Address Type
Select Address Type
--Select--
Primary Work Address
Secondary Work Address
Address
Address Line 2
City
Zip Code*
Invalid zip code
Invalid format for Zip
Zip+4
Invalid Zip+4
State
Select State
-Select-
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Africa
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming