Request for My MSCHE Login Credentials
[For New and Returning Evaluators]


Instructions:By completing and submitting the form below, you are requesting login credentials for the My MSCHE website where you can complete an Evaluator Data Form and submit it for staff review and approval.

Fields marked with a red asterisk (*) are mandatory.

Note: Middle initials and academic credentials are not necessary at this point. Please do not abbreviate your job title and institution/organization name. 

Individuals that already have My MSCHE login credentials should not request new login credentials if their email address has changed. You can now change your username from the My MSCHE application. Just click on the link entitled "Maintain Security Profile" after logging into the application.
Prefix:
First Name:*
Last Name:*
Job Title:*
Institution/Organization:*
Previous Institution/Org.:
Previous Job Title:
Email:*
Confirm Email:*
Have you received communication (Email/Mail) from MSCHE
in the past?
Security Check:* Type the two words that are displayed in the control. Click on the arrows to change the two words.