State Networks' Registration Submission

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State Networks' Registration Form
Principal or their designee should fill out one form for the school's team. Once submitted, the Technology Manager will process it. NC schools are permitted to register 4 staff, and Hawai'i schools may register up to 6 staff members. Please type carefully and make sure email addresses are correct!
Note: Please allow 1-2 business days to process. You will receive email with log in directions.
Note: If your school/district has strict email security filtering and blocking, you may prefer to use personal, home email addresses to ensure prompt and unimpeded communication. (P4DL, Inc. does not share, distribute, or sell anyone’s personal or business e-mail and/or related information)

Choose your State Network*

Hawai'i Senior Project Network

Name of High School*

School Address*

City/Town*

Zip Code*

Principal's Name*

Principal's Email*

School Phone #*

School Fax #*

Name of Primary Program Contact at School *

1. First Name*

Last Name *

Email Address*

2. First Name

Last Name

Email Address

3. First Name

Last Name

Email Address

4. First Name

Last Name

Email Address

5. First Name (Hawai'i ONLY)

Last Name

Email Address

6. First Name (Hawai'i ONLY)

Last Name

Email Address

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