Texas Funded Institutional Membership Application
We're delighted you're applying for a Texas Funded Institutional Membership! To help us process your application efficiently, please make sure all sections are completed. We'll be reviewing applications in the order they're received, and our Student Success team will send you an email with your temporary password as soon as your application is processed. Please remember to submit a distinct application for each school.
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Campus Name *
Please write the name of the campus you would like to register (do not just write the district name). If you are registering multiple campuses, you will need to complete this form separately for each campus. 
To add a large number of campuses, please contact your district ISM or email jhuff@learningally.org.
Campus Number *
Find your campus number.
District Name *
District Number *
Find your district number.
School or District Physical Address *
Please fill out the street address of your site, not your personal address.  P.O. boxes are not accepted.
ESC Region number *
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