Certified Teacher Documentation

Please fill out the form completely.  Once submitted you will be contacted by email within 5 working days with a discount code for the Rearing Butterflies in the Classroom course.

Date

Type of Organization
Choose OnePublic SchoolPrivate SchoolHome SchoolOther
If other, please specify

School

Certificate Holder

First Name
Last Name

City, State
AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyomingDistrict of Columbia
Email

Certificate

Type of Certificate

Certificate #/similar

You may alternately attach a picture of your certificate.

2mb file limit for photo.