Initial-Inquiry - MN Licensing and Registration

Please fill out the form below to proceed with new school sign up. If you're having any trouble please contact us at (betsy.talbot@state.mn.us)

School Name (Required)

Institution Phone Number (Required)

Institution Fax Number

Web Address (Required)

Primary Inquiry Contact

First Name (Required)

Last Name (Required)

Primary Phone Number (Required)

Email Address (Required)

School Mailing Address Line 1 (Required)

School Mailing Address Line 2

School Mailing Country

School Mailing Zip Code (Required)

School Mailing City (Required)

School Mailing State (Required)

Same as School Mailing Address

Institutional Degree Address Line 1

Institutional Degree Address Line 2

Institutional Degree Country

Institutional Degree Zip Code

Institutional Degree City

Institutional Degree State

College Degrees

Yes No

Certificates or Diplomas

Yes No

Training intended to lead to employment

Yes No

SUBMIT APPLICATION