Credentials Request (Electronic)

Payment with a debit/credit card will only be taken over the phone. For your own protection, PLEASE, DO NOT send payment information through email messages. Email is NOT SECURE.(Checks for payment may be sent via USPS.)

Please call us at 620-341-5407 to pay with your credit/debit card. There is a fee of $5 per credentials request to process requests for anyone not enrolled in classes at ESU. Payment must be received before your request can be processed.
Please complete the following information to send your credentials.

PLEASE PROVIDE CORRECT AND COMPLETE INFORMATION FOR UP TO 2 EMPLOYERS.

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