2019 PETE&C Micro-Credential Act 48 Request Form
If you are requesting Act 48 hours for completing a micro-credential that was offered at the 2019 PETE&C conference, please complete this form. As a friendly reminder, micro-credentials must be completed by May 31, 2019. *Please be sure to use the same name and email address you used in the PSU Badging system below. If you have any questions, please contact Jill Neuhard at jneuhard@caiu.org. Thank you!
First Name *
Your answer
Last Name *
Your answer
E-mail address (same one used in the PSU Badging System) *
Your answer
PPID *
Your answer
Name(s) of completed micro-credential(s): *
Your answer
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