PSMLA Workshop at Messiah College Registration 2019
Registration Deadline: March 25, 2019
Event Date: Saturday, March 30, 2019
Registration will not be complete until your payment is received.
First Name for Badge (if different)
School / College Affiliation
This refers to where you work(ed). For student teachers, this is your teacher preparation program.
Full-Time Student / Student Teacher
Act 48 PPID Number
Note: Act 48 hours are for PSMLA members only. This is a 7-digit number. Be sure that your first and last name on this registration form are identical to your PDE record. After the workshop, you will receive an email to the email address on this form with instructions on completing a Student Impact Statement so that your hours can be uploaded to PDE. If you are not a PSMLA member but would like to join in order to receive Act 48 hours, please make that selection below to join as a member.
If you are unsure of your membership status, email PSMLA Secretary Phyllis Rzodkiewicz at
. Non-members may join PSMLA to receive member benefits (including Act 48 hours) and the reduced workshop price.
PSMLA Member - $25
AATF Susquehanna Valley Member - $25
PSMLA & AATF Susquehanna Valley Member - $15
Non-Member + PSMLA Membership through June 2020 ($10 discount) - $75
Non-Member - $35
Full-Time Student - $15 (register with your university email address)
Instructions for payment will appear on the next screen.
Credit or debit card (online)
Check (by mail)
A copy of your responses will be emailed to the address you provided.
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