Personalized PD

Professional Development Trainings
Customized For You

On the form below you'll be asked to submit the following:

Your information
ECE Program information
The topic of the training
Where you'd like to have the training
Who will be coming to the training
What timeframe you'd like the training to take place

Using the form below, you can request a customized training to suit the needs of your program. A few things to note:

After entering all information, the price of the training will be quoted to you and must be paid in advance before scheduling will begin.
The instructor may contact you within a few days to work out the date, time, and confirm the location. Once this has been finalized with the instructor, preparations for the training begin. Therefore, the fee is non-refundable unless CCPN cannot schedule the training. No attendees can be added or substituted after this point, nor refunded for any reason.
Using the Resource Center for the training is free, however the maximum capacity of the Center is 12 attendees.
If it is a training that requires hours to be put in the PA PD Registry: The PA Keys ID # of all attendees must be submitted on this form. Anyone without a valid Registry ID # will not receive hours for the training. Entering the hours in the Registry is included in the cost.
If it is a training that requires Act 48 credit: The PPID number of all attendees must be submitted on this form. Anyone without a valid PPID # will not receive credit for the training. There is a surcharge to enter Act 48 credit.
You may select a time frame that you'd like your training to take place within. There is a surcharge for time frames that are short notice.

Your Contact Info

This will be the primary person we contact about the training details, to whom we send the invoice, and to whom we send the training documents (such as certification cards).

First name

Last name

Phone

Only type numbers. No dashes. For example: 2150001234

Your Training Choices

Number of Training Attendees

Choose Your Training Needs

Your Training Location

Enter the location where you want your on-site training to take place.

Location/Company Name

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Requested Training Dates/Times

Please give us as much detail as possible about when you would like your training. For example: If you have a particular date and time, a range of dates, if only certain times of day are possible (such as only evening trainings, only morning), etc. After you submit this form, our instructors will reach out to you to work with you on the exact date and time.

When would you like your training?

Names and Registry ID #'s

Please type the first and last name, and Registry ID number of each of the staff that will be trained.

Type First, Last, and Registry ID of each attendee

Additional Info

Please let us know any additional info about your request. If you selected "Other" for the type of training, this is where you can describe the type of training you need.

Type additional info here:

What's Next?

After you click submit, one of our instructors will get your request and reach out to you via email or phone to choose a date/time with you.
We (CCPN) will then send you an e-invoice that is payable online. Your cost will be the price of the training multiplied by the number of attendees.
Once the invoice is paid, there is nothing more you need to do. Our instructor will be at your location shortly before the scheduled time in order to set up.
After the training, we (CCPN) will prepare any applicable documents such as certification cards and send them via email. If PD Registry hours are applicable, we enter them in the Registry.

Terms & Conditions

Please carefully read the following terms, and feel free to ask us if you have any questions at ccpnpa.org@gmail.com

I agree to the Terms & Conditions of submitting this form.