Credential Program Completer Application Fee

We currently accept the following credit cards: Visa, MasterCard, American Express, Discover, JCB and Masterpass by Mastercard.

            

* All fields below are required. Please fill in the following information below to process your payment.

---

Payment Amount (US)

Credential Program *

Select a Program Administrative ServicesAutism Spectrum Disorders Added AuthorizationBilingual AuthorizationEducation Specialist - Early Childhood Special EducationEducation Specialist - Mild/ModerateEducation Specialist - Moderate/SevereMultiple SubjectReading and Literacy Added Authorization Reading and Literacy Leadership SpecialistResource Specialist Added Authorization School Nurse ServicesSingle SubjectSpeech Language Pathology Services

Student CWID *

Email *

First name *

Middle name

Last name *

Address *

City *

State *

Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------- American Samoa Guam Northern Mariana Islands Puerto Rico United States Minor Outlying Islands Virgin Islands

Zip *

* Double-check your entries before you submit and please only click once on Submit button to avoid double processing.

* Should you have any problem regarding this page, please contact our technical support.

Submit