If you are a CCSD employee, call 799-3300x4 or email Tech_Staff@interact.ccsd.net to set up your account at no charge.

Only complete this form if you are not

If you are any of these, please call 799-3300x4 or email Tech_Staff@interact.ccsd.net.

If you do not fall into one of the categories above, please mail the following documents to the address below:

1. A copy of this application -- Be sure to fill out your name, phone number and/or email address where you can be reached.
2. A check or money order for the amount below made payable to the Public Education Foundation

Public Education Foundation
3360 West Sahara, Suite 160
Las Vegas, NV 89102

Check the box that applies and fill out the following information:

Students majoring in Education ...................................................................$15 annual fee

Post Secondary Personnel in the Education Department ....................$15 annual fee

Non-Educational Personnel and former CCSD employees..................$25 annual fee

Private/Charter School Personnel............................................................. $25 annual fee

Name:

School/Organization

Phone:

Check# :

External E-Mail:

Interact
E-Mail:
(If you have one)

I understand that payment of the membership/account fee at this time will provide me with the software and instruction guide to begin the activation process of my account.

Signature:

Date:



For additional information contact the Public Education Foundation at (702) 799-1042
For technical help regarding Interact, please contact the help desk at (702) 799-3300x4