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The application process begins with your basic contact information. We will use this information to contact you regarding your application...

First Name Your first name is required.	Middle Name	Last Name Your last name is required.
Home Phone Your daytime phone number is required.
Email Address Your email address is required. Please note that email is the primary communication method for Region 4 Inspire Texas. It is the responsibility of the candidate to keep the program informed of any email changes or corrections.
Enter a password for your new account A password is required. Re-type your password