ELRS Account Registration for Head Start Representatives

This registration is only intended for Head Start representatives.

In order to register for an ELRS account, we'll need to collect information about you and your current position. Please use an email address only used by you. Do not use a shared email address.

All required fields are labeled in red. Gray placeholder text will disappear once information is typed into the field.

Workplace Information District of main office Name of Head Start Work phone number Work phone extension Mailing address City State ZIP code Email Verify email

Your Information First name Middle name Maiden name Last name Birth date

By submitting, you certify that the information above is true and correct to your knowledge. You are also agreeing to follow the rules and regulations set forth in WVBE Policy 2460 in regards to your WVDE SSO account. Failure to comply may result in delay or deletion of your account registration. To submit your registration, please click Apply for Account.