Energy Balance Learning Center > Participant Registration

Professional Development Trainings

Participant Registration

Attendee Information
* All bold fields are required
First Name
Last Name
Organization Name
Organization Position (Title)
Address 1		City
Address 2		State
Zip Code
County of Residence
Phone Number	- -
Fax Number	- -
E-mail Address
If you need Act 48 Hours, please provide your (Department of Education) Professional Personal Identification number
If you don't know your Professional Personal Identification number, please go to https://www.perms.ed.state.pa.us/Screens/wfPublicAccess.aspx and click on "Get Your Professional Personal ID". You will then need to provide your name, social security number and birthdate and the system will automatically give you your number. Note: Act 48 credits will be issued upon completion of the online program evaluation.