****OLD GCS Request for Network Access****
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First Name *
Middle Name *
Last Name *
Preferred Name
Date of Birth *
MM
/
DD
/
YYYY
Phone Number *
Personal Email Address *
Social Security No. (required for PowerSchool Login) *
Address *
City *
Zip *
Position Employed *
School Employed *
Required
Do you need STI PD Training History Transferred? *
Required
If so, from where? (List each School System, School Name, and your Email Address from that system.)
ALSDE ID (For Certified Staff this is your certificate number, If this does not apply to you, just put NA). *
Please read the following "Using the Internet & Network" agreement: http://bit.ly/2TtmKMg. Then check the box and initial below acknowledging you have read and agree to the above and understand the importance of network security.
I have read the "Using the Internet and Network" agreement. *
Required
Please initial below as an electronic signature acknowledging you have read and agree to the "Using the Internet and Network" policy and understand the importance of network security. *
Submit
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