Contact the Help Desk
Phone: 888.624.4770
Business Hours: 7:30am - 3:30pm [CST]
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New Users

If this is your first time creating an application, please create a new user to log in.

Please save the user name and password that you created. If you need to complete your application at a later time, you will need them to log back in.

Log in to complete application

You can log in at any time to complete your application by entering in the user name and password you initially created.

Once you submit your application you will be able to log in to view your current application status and your completed application, but you will no longer be able to make changes.

Clicking "Proceed" will disqualify you and log you out of the application. To return to the application to modify your answer, please select the "Go Back" link.

Provide the following: