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Request access to the Item Bank System

To request access to the Michigan Item Bank System, please complete the form below and click the "Submit" button. An administrator will review your request and respond.

* Required field

First Name * (Maximum 30 characters)

Last Name * (Maximum 30 characters)

Organization/School * (Maximum 50 characters)

Primary Email * (Maximum 100 characters)

Secondary Email (Maximum 100 characters)

Phone (xxx-xxx-xxxx) * (Maximum 20 characters)

Address * (Maximum 255 characters)

City * (Maximum 50 characters)

State *

ZIP Code *

Comments (Maximum 500 characters)

Security Questions

Please select three security questions and provide answers to each in the form below. Please remember the answers you provide below. You will be asked to provide them in the future if you forget your password. Your answers must be at least 2 characters long excluding spaces.

Security Question 1 *

Answer * (Maximum 500 characters)

Security Question 2 *

Answer * (Maximum 500 characters)

Security Question 3 *

Answer * (Maximum 500 characters)

Enter your new User ID and Password

Please enter your new password below. Your new password must contain at least 8 characters. It may not be the same as any passwords previously used on this site, and it may not contain your user ID. It also must have at least three of the following characteristics:

One or more upper case letters
One or more lower case letters
One or more numeric characters
One or more special characters (for example, %, *, or &)

User ID *

Enter your new password *

Enter your new password again *