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Login Info
E-mail
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A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
Password
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Confirm password
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Provide a password for the new account in both fields.
About Your Organization
Organization Name
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Each organization should have only one account.
Your Name
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Phone Number
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Website
Federal Tax ID #
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(or Social Security # if you do not have a Federal Tax ID)
Starting Month of Fiscal Year
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If you are a regulated child care program, are you in currently in good regulatory standing with the Child Development Division?
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Yes
No
N/A (This is not a regulated child care program)
If your organization provides childcare, you must be licensed and in good regulatory standing in order to be eligible for the Landon awards.
If yes, under what name?
Mailing Address
Address 1
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Address 2
City
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State
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Texas
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Washington
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Wisconsin
Wyoming
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Armed Forces (Americas)
Armed Forces (Europe, Canada, Middle East, Africa)
Armed Forces (Pacific)
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
ZIP code
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