PSMLA / Dickinson College Workshop Registration
Registration Deadline: October 26, 2018
Event Date: Saturday, November 3, 2018
First Name for Badge (if different)
Communication will be via the address you provide. Be sure it is an address that you check frequently.
This refers to where you work(ed). For student teachers, this is your teacher preparation program.
Full-Time Student / Student Teacher
Language of Gallery Tour
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). Contact AATF Chapter President Heather Dravk at
with questions related to AATF membership.
AATF Susquehanna Valley Member
PSMLA Member & AATF Susquehanna Valley Member
I would like to join PSMLA - $50
Please note any special needs.
Disability accommodations, private location for breast pumping, dietary restrictions.
Just I will be attending.
1 current high school or college student with an interest in world language education will attend with me.
1 new world language teacher (in the first 3 years of career) will attend with me.
After clicking "Next," be sure to scroll back up and click "Submit" when all questions are answered to complete registration.
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