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Renaissance Certification Free Literature Request Form

The information requested with this form is free and does not qualify as enrollment. To enroll in Renaissance Certification, complete and return the enrollment form, along with your one-time $25 enrollment fee, to Renaissance Learning.

(Please note: If you have already enrolled in Renaissance Certification or have purchased Renaissance professional development within the last 12 months, no additional enrollment fee is required.)

Please read: You must be 18 years of age or older to request information from our Web site. If you are younger than 18, please have your teacher or another adult submit the request.

Mailing Address
Attn: Certification Department
Renaissance Learning
P.O. Box 8036
Wisconsin Rapids, WI 54495-8036
Fax Number (877) 261-6132
Email

model.classroom@renlearn.com


 
 

(All fields are required)

First Name

Last Name

Title

Grades

School

Street Address


City


State


ZIP Code

School Phone

E-mail Address

Please send me the free certification kit(s) checked below:

       Reading Classroom (L0591)
       Library (L0592)
       Reading School (L0661)
       Coordinator (L2240)
       Math Classroom (L0662)
       Math School (L1830)
    

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