2. State Employees may request a free eCard from the State Library of Kansas via this form. Emails ending in ks.gov do not require further information. For employees of agencies using other domains, please enter your job title and agency information for verification purposes. 

4. First Name*
5. Middle Initial*
6. Last Name*
8. State Agency and Title

   For employees with email domains other than ks.gov. :
   Enter your job title and state agency

10. Birthdate*
    Birthdate

    Please enter as MM/DD/YYYY. This will be your password for your eCard credentials. 

12. How did you hear of this service?*
    -- Select One --State Employee OnboardingCoworkerPresentation or webinarSocial mediaOther
14. Employee email*
15. Alternate email
16. Email Preference*

    Your eCard credentials will be sent to the email address you indicate here. 

    1. Employee email
    2. Alternate email

18. For assistance please email kslc@ks.gov. 

Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field