Act 48 Submissions Information

First Name *
Initial
Last Name *
Former Last Name
Phone Phone * - ### - ### ####
PPID *
Email *
ESU Student ID Number
Current Employer *
Employer Address
Course #1 Title *
Semester Completed Course #1 *
Credits Course #1 *
Course #2 Title
Semester Completed Course #2
Credits Course #2
*Effective July 1, 2013, provides will no longer be able to collect Social Security Numbers from educators on continuing professional education in order to upload credits for completed course work. Educators can find their PPID by going to PDE’s website at www.education.state.pa.us (scroll to the bottom of the home page and click “Act 48 Reporting System” under PDE Online Services)
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