Applicant Registration
Step 1 - Please Enter Your Information
 
Transaction Information     
Is this for the Florida Department of Education?
*
Law Enforcement:    (Law Enforcement Check Only)
County, Recipient or Sponsor:   
*
CRI Literal:   
  
(None of above)
CRI:    * (read only)
Fingerprint Card User:    (Out of State Applicants ONLY, all other cards will be returned)
Payment Type:    *
No unemployment cards, child support cards or gift cards are accepted.
ID    What's this?
Password    (case sensitive)
Personal Information     
OCA:   
Last Name:    *
First Name:    *
Middle Name:   
Suffix:   
Date of Birth:    *(YYYYMMDD)
Place of Birth:    *
SSN (no dashes):       The social security number is Required for any person applying for a Florida Educator's Certificate or employment with a Florida public school district.
Reenter SSN:   
Sex:    *
Race:    *
Eye Color:    *
Hair Color:    *
Height:    *
Weight:    *
Country of Citizenship:   
Driver's License No:   
Driver's License State:   
Address 1:   
Address 2:   
City:   
State:   
Zip:   
Contact Information     
Phone:   
Email:   
Reason:   
 


Note: Highlighted fields are required and marked by a *.