Registrants Signature: ___________________________________________________________________
Conference Fee: $50.00 ( payment must be recieved before June 15, 2010)
Payment Method:
1.Check # ____________________________ for $ ________________________ is enclosed
Refund Policy
Fees apply per person. A written request for a refund must be received by the Erie County Drug & Alcohol Coalition2 weeks prior to the start of the conference. All refunds are subject to a non-refundable $20 administrative fee.
There is no refund if canceling two weeks prior to the scheduled date of the class. If you should have any further questions, please contact: Erie County D & A Coalition at 814-454-3326 - 36 North Park Row, Erie, PA 16501 or Preferred Systems at 1-888-455-7437 1341 West 6th Street, Erie, PA 16505.
To Register, complete this form and fax or mail to
Erte County Drug and Alcohol Coalition
36 North Park Row
Erie, PA 16501
Phone: 814-454-3326
fax: 814 453 - 5269
one registration per form, may duplicate as nessesary
Continuing Education Credits Offered for
“It Takes a Community to Fix a Community”
- This program has been approved for 6 (CLE) Continued Legal Education hours with the Pennsylvania Continued Legal Education Board.
- 6 CAC credit hours – Preferred Systems, Inc. is an approved provider of PCB continuing education credits.
- 6 Continuing Education Credits for the National Board for Certified Counselors. Preferred Systems, Inc. is an approved provider of NBCC continuing education credits.
- 6 Act 48 Continuing Education Credits (PA Teachers Continuing Education). Preferred Systems, Inc. is an approved provider for the Pennsylvania Department of Education Act 48 Credits.
- NASW-PA Chapter is a co-sponsor of this workshop. 6 continuing education credit hours will be awarded for completion of these courses. NASW has been designated as a pre-approved provider of professional continuing education for Social Workers, Marriage and Family Therapist and Professional Counselors (Section 47.36) by the PA State Board of Social Workers, Marriage & Family Therapists and Professional Counselors.
- 6 PA State Board of Nursing Continuing Education Credit Hours -These programs meet the criteria established for Continuing Education credit hours by the PA State Board of Nursing.
- 6 Psychologist Credits – This program is co-sponsored by Western Psychiatric Institute and Clinic and Preferred Systems, Inc. Behavioral Health Program. (Western Psychiatric Institute and Clinic is approved by the American Psychological Association to offer continuing education credits for psychologists. Western Psychiatric Institute and Clinic maintains responsibility for this program and its content.)
- 6 Clock Hours (CRCC) Commission on Rehabilitation Counselor Certification
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