State Education Resource Center

*Please have your SERC Member Number (What's this?) ready before you start to fill your profile. The blanks with are required to be filled in.**

Personal Information
First Name	(letters only, no other symbols, such as apostrophe)	*
Last Name	(letters only, no other symbols, such as apostrophe)	*
Home Address	(letters only, no other symbols, such as apostrophe)	*
City		*
State		*
Zip Code		*
Day Contact Number	- -	*
E-mail Address		*
Re-Enter Email Address		*

School / Community Information
Position		*
Primary Role		*
District		*
Location		*
Grade		*
CSDE EIN (if known)

User Information - Username / Password
Create Your Username		*
Create Your Password		*
Re-Enter Password		*
SERC Member #	(Please contact us at 860-632-1485 if you need any assistance.)	*