Indiana Music Educational Network - Director Registration

	Below is the registration forum for the password protected Director's Area inside the Tools & Resources section. This form may ONLY be utilized by music directors in the State of Indiana. We will follow-up to verify all information before providing you with a password for your account. Follow-up procedures include (but are not always required) e-mail contact, telephone contact, and in extreme circumstances fax backs or mail. Please fill out all fields entirely before submitting

	Your Full Name:
	E-Mail Address: .k12 address recommended to improve verification time

	Your School/Organization:
	City:
	State:
	Position: Example: Asst. Band Director

	Daytime Telephone #:
	Daytime Fax #: Optional

	Preferred Username: This will be how you login to the Director's Area. Choose this carefully. Min 8 characters.

	Additional Comments or Questions about your Director's Area Registration: