Certification | REC Foundation

RECF Proctor Registration Form

Please fill out the form below. Fields marked with an asterisk * are required.

Proctor First Name: *

Proctor Last Name: *

School or Organization Name: *

Street Address: *

City: *

State: *

Zip Code: *

Your Email Address: *

Your Phone Number: *

District Email Address:

Create User ID:

Create a Password: *

Repeat Password: *