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.