Attendance Verification Form

Conference attendees may submit the following form to request professional hours/CEUs.

1Verification

2Contact Information

3Sessions Attended

4Total CEUs

Please confirm that you have the following information so you only have to submit the form one time for your total hours.
I have verification codes for ALL sessions that I attended.*
Yes
I have ALL of my professional ID/license numbers (or I am not requesting professional CEUs).*
Yes
I understand that request for ASHA CEUs must be submitted via separate ASHA-specific surveys in order to receive credit.*
Yes
You must answer "Yes" to all questions above to proceed with the Attendance Verification Form. If you have not collected all of your verification codes or need to obtain professional ID numbers, return to this form when you have them.

Contact Information
First Name*
Last Name*
Last Name Change?
If you registered for the conference under a different last name, please enter your previous name here.
Email*
Enter Email Confirm Email
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Sessions Attended
Enter your session verification codes to confirm your attendance. Your total hours will be calculated on the next page.
After you finish entering a correct verification code, you will see a green checkmark next to the number of hours earned for each session. Make sure you get the green checkmark or hours will NOT calculate.
01. Conference Welcome and Pennsylvania Updates
Eligible Professions: Act 48, Infant/Toddler, OT, SW
01. Hours Earned (Pending Verification Code)
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01. Hours Earned
Hours earned per eligible profession
02. Opening Keynote: All Students Can Learn…If We Teach Effectively
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
02. Hours Earned (Pending Verification Code)
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02. Hours Earned
Hours earned per eligible profession
03. Getting the Most Out of the Conference: An Introduction to the 2022 National Autism Conference
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
03. Hours Earned (Pending Verification Code)
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03. Hours Earned
Hours earned per eligible profession
04. Every Child Can Learn Math
Eligible Professions: Act 48, BACB, OT, Psych, SW
04. Hours Earned (Pending Verification Code)
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04. Hours Earned
Hours earned per eligible profession
05. Recent Advances in Research and Community Solutions Focused on Early Development of Social Responding in Infants and Toddlers with Autism
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
05. Hours Earned (Pending Verification Code)
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05. Hours Earned
Hours earned per eligible profession
Hidden
06. Cancelled
Eligible Professions:
06. Hours Earned (Pending Verification Code)
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06. Hours Earned
Hours earned per eligible profession
07. An Update of Legal Issues for Students with Autism: Eligibility and Methodology
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
07. Hours Earned (Pending Verification Code)
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07. Hours Earned
Hours earned per eligible profession
08. Token Economies: Bridging the Gap from Research to Practice
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
08. Hours Earned (Pending Verification Code)
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08. Hours Earned
Hours earned per eligible profession
09. Assessing Social Communication in Young Children with ASD and Implementing Evidence-Based Interventions
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
09. Hours Earned (Pending Verification Code)
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09. Hours Earned
Hours earned per eligible profession
10. Five Things We Can Do Better
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
10. Hours Earned (Pending Verification Code)
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10. Hours Earned
Hours earned per eligible profession
11. Why Science Matters for Serving Individuals with Autism
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
11. Hours Earned (Pending Verification Code)
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11. Hours Earned
Hours earned per eligible profession
12. Special Parent Session. Contracting: A Positive Way to Improve Family Dynamics and Learn New Skills
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
12. Hours Earned (Pending Verification Code)
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12. Hours Earned
Hours earned per eligible profession
13. Designing Instruction for All Learners Across the Three Stages of Learning - Part 1
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
13. Hours Earned (Pending Verification Code)
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13. Hours Earned
Hours earned per eligible profession
14. Why Applied Behavioral Analysis (ABA) Practitioners No Longer Rely on Punishment, Extinction, and Other Aversive Procedures
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
14. Hours Earned (Pending Verification Code)
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14. Hours Earned
Hours earned per eligible profession
15. Universally Designing Instruction: How to be Effective for All Learners in All Settings
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
15. Hours Earned (Pending Verification Code)
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15. Hours Earned
Hours earned per eligible profession
16. Creating a Culture of Feedback
Eligible Professions: Act 48, BACB, Ethics, Infant/Toddler, OT, Psych, Supervision, SW
16. Hours Earned (Pending Verification Code)
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16. Hours Earned
Hours earned per eligible profession
17. Finding Online Information about ASD: Tips for Families and Professionals
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
17. Hours Earned (Pending Verification Code)
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17. Hours Earned
Hours earned per eligible profession
18. Communication is More than Just Requesting Considerations for Selecting and Teaching Augmentative and Alternative Communication (AAC) Systems for Non-vocal Learners with Autism
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
18. Hours Earned (Pending Verification Code)
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18. Hours Earned
Hours earned per eligible profession
19. The Return of Facilitated Communication: Recent Events and Implications for Misrepresenting Autism
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
19. Hours Earned (Pending Verification Code)
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19. Hours Earned
Hours earned per eligible profession
20. Lessons Learned from Autism Support: How the Science of Applied Behavioral Analysis (ABA) Can Improve Outcomes for All Students Regardless of Disability or Placement
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
20. Hours Earned (Pending Verification Code)
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20. Hours Earned
Hours earned per eligible profession
21. County Connections and Post-School Support: Exploring the Transition from High School to Adulthood
Eligible Professions: Act 48, BACB, OT, Psych, SW
21. Hours Earned (Pending Verification Code)
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21. Hours Earned
Hours earned per eligible profession
22. Designing Instruction for All Learners Across the Three Stages of Learning - Part 2
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
22. Hours Earned (Pending Verification Code)
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22. Hours Earned
Hours earned per eligible profession
23. Fortify Your Lessons with Active Student Responding
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
23. Hours Earned (Pending Verification Code)
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23. Hours Earned
Hours earned per eligible profession
Hidden
24. Cancelled
24. Hours Earned (Pending Verification Code)
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24. Hours Earned
Hours earned per eligible profession
25. PLAY-SAY: Beyond Pairing - Improve Assent, Social Engagement, and Verbal Behavior via Social Play Chains
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
25. Hours Earned (Pending Verification Code)
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25. Hours Earned
Hours earned per eligible profession
26. Learning by Listening
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
26. Hours Earned (Pending Verification Code)
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26. Hours Earned
Hours earned per eligible profession
27. Participation or Proximity? Essential Ethical Considerations for Least Restrictive Environment (LRE) Selection
Eligible Professions: Act 48, BACB, Ethics, Infant/Toddler, OT, Psych, SW
27. Hours Earned (Pending Verification Code)
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27. Hours Earned
Hours earned per eligible profession
28. Beyond the Table and the Cards: Effective Instructional Practices for Learners with Autism
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
28. Hours Earned (Pending Verification Code)
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28. Hours Earned
Hours earned per eligible profession
29. Addressing Concerns and Misconceptions Related to Applied Behavioral Analysis (ABA) Based Intervention
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
29. Hours Earned (Pending Verification Code)
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29. Hours Earned
Hours earned per eligible profession
30. Special Panel - Evidence-Based Practices: “Because we Can’t Leave it Up to Chance”
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
30. Hours Earned (Pending Verification Code)
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30. Hours Earned
Hours earned per eligible profession
31. An Instructional Framework to Establish Generative Multiple Verbal Control – Part 1
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
31. Hours Earned (Pending Verification Code)
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31. Hours Earned
Hours earned per eligible profession
32. The Role of Verbal Behavior in Recalling Past Events
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
32. Hours Earned (Pending Verification Code)
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32. Hours Earned
Hours earned per eligible profession
33. Guiding Instructional Decisions: The Role of Data in School-based Programs for Students with Autism
Eligible Professions: Act 48, BACB, Infant/Toddler, NASP, OT, Psych, SW
33. Hours Earned (Pending Verification Code)
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33. Hours Earned
Hours earned per eligible profession
34. The Echoic: The Little Verbal Operant That Could
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
34. Hours Earned (Pending Verification Code)
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34. Hours Earned
Hours earned per eligible profession
35. Think Big Picture: Teaching for Long Term Outcomes and Maximum Independence - Part 1
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
35. Hours Earned (Pending Verification Code)
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35. Hours Earned
Hours earned per eligible profession
36. Implementing ABA-Based Treatment in the Deaf and Hard-of-Hearing Autistic Population: Ethical Considerations and Insights for Clinicians, Educators, and Families
Eligible Professions: Act 48, BACB, Ethics, Infant/Toddler, OT, Psych, SW
36. Hours Earned (Pending Verification Code)
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36. Hours Earned
Hours earned per eligible profession
37. Social Skills Instruction for Early Learners
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
37. Hours Earned (Pending Verification Code)
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37. Hours Earned
Hours earned per eligible profession
38. Effective Supervision for Administrators
Eligible Professions: Act 48, BACB, Ethics, Infant/Toddler, OT, Psych, Supervision, SW
38. Hours Earned (Pending Verification Code)
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38. Hours Earned
Hours earned per eligible profession
39. IEP, SDI, LRE…Someone Tell Me What These Letters Men! A Guide to Understanding the Components of the IEP and How to Become a Fully Active Central Member of the Team
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
39. Hours Earned (Pending Verification Code)
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39. Hours Earned
Hours earned per eligible profession
40. SPP/APR Team Stakeholder Engagement Session
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, SW
40. Hours Earned (Pending Verification Code)
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40. Hours Earned
Hours earned per eligible profession
41. Call All Administrators: How to Support Your Staff for Successful Student Outcomes
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
41. Hours Earned (Pending Verification Code)
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41. Hours Earned
Hours earned per eligible profession
42. Making Kindergarten a Cake Walk: How to Increase the Odds of Student Success in Inclusive Settings
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
42. Hours Earned (Pending Verification Code)
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42. Hours Earned
Hours earned per eligible profession
43. The Importance of Behavior Analytic Terminology in American Sign Language (ASL)
Eligible Professions: Act 48, BACB, Ethics, Infant/Toddler, OT, Psych, SW
43. Hours Earned (Pending Verification Code)
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43. Hours Earned
Hours earned per eligible profession
44. An Instructional Framework to Establish Generative Multiple Verbal Control – Part 2
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
44. Hours Earned (Pending Verification Code)
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44. Hours Earned
Hours earned per eligible profession
45. Progressive ABA as it Relates to Individuals Diagnosed with Autism Spectrum Disorder: Recent Advancements in Research and Clinical Practice
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
45. Hours Earned (Pending Verification Code)
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45. Hours Earned
Hours earned per eligible profession
46. Promoting Staff Retention and Effective Instruction Through Evidence-Based Staff Training Practices
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
46. Hours Earned (Pending Verification Code)
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46. Hours Earned
Hours earned per eligible profession
Hidden
47. Cancelled
47. Hours Earned (Pending Verification Code)
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47. Hours Earned
Hours earned per eligible profession
48. Think Big Picture: Teaching for Long Term Outcomes and Maximum Independence - Part 2
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
48. Hours Earned (Pending Verification Code)
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48. Hours Earned
Hours earned per eligible profession
49. Guiding Instructional Practices for Students with Autism Using Research Syntheses
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
49. Hours Earned (Pending Verification Code)
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49. Hours Earned
Hours earned per eligible profession
50. Including Parents in Communication Interventions for Minimally Vocal Children
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
50. Hours Earned (Pending Verification Code)
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50. Hours Earned
Hours earned per eligible profession
Hidden
51. Poster Session
51. Hours Earned (Pending Verification Code)
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51. Hours Earned
Hours earned per eligible profession
52. Overcoming the Current Crisis of Staff Shortages for Students with Intensive Learning Needs
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
52. Hours Earned (Pending Verification Code)
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52. Hours Earned
Hours earned per eligible profession
53. A Tutorial on the Applications of Lowenkron's Concept of Joint Control for Educational Programs with Students with 54. Verbal Skill Deficits
Eligible Professions: Act 48, BACB, Infant/Toddler, NASP, OT, Psych, SW
53. Hours Earned (Pending Verification Code)
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53. Hours Earned
Hours earned per eligible profession
54. Shaping Early Social Responses through Social Behavioral Chains, Daily Parental Routines, and Pattern Games
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
54. Hours Earned (Pending Verification Code)
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54. Hours Earned
Hours earned per eligible profession
55. Resurgence, Renewal, Treatment Relapse Following Successful Treatment, Mitigation of Treatment Relapse and How this Might Inform Function-based Treatments
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
55. Hours Earned (Pending Verification Code)
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55. Hours Earned
Hours earned per eligible profession
56. It's Not Just About Asking for What You Want
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
56. Hours Earned (Pending Verification Code)
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56. Hours Earned
Hours earned per eligible profession
57. Successful Toilet Training Procedures for Parents and School-based Teams
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
57. Hours Earned (Pending Verification Code)
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57. Hours Earned
Hours earned per eligible profession
58. Building a Positive Context for Learning Through a Responsive Social Partnership
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
58. Hours Earned (Pending Verification Code)
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58. Hours Earned
Hours earned per eligible profession
59. Word Problems without Worry
Eligible Professions: Act 48, BACB, OT, Psych, SW
59. Hours Earned (Pending Verification Code)
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59. Hours Earned
Hours earned per eligible profession
60. Supervising Behavior Analysts for Successful School Implementation
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, Supervision, SW
60. Hours Earned (Pending Verification Code)
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60. Hours Earned
Hours earned per eligible profession
Hidden
61. Cancelled
61. Hours Earned (Pending Verification Code)
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61. Hours Earned
Hours earned per eligible profession
62. Contemporary Practices in Skill Acquisition: Getting More with Less Using Matrix Training
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
62. Hours Earned (Pending Verification Code)
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62. Hours Earned
Hours earned per eligible profession
63. Teaching Problem Solving to Students with Autism
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
63. Hours Earned (Pending Verification Code)
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63. Hours Earned
Hours earned per eligible profession
64. Behavior Management Survival Guide
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
64. Hours Earned (Pending Verification Code)
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64. Hours Earned
Hours earned per eligible profession
65. Toward Individualized Augmentative or Alternate Communication (AAC) Practices for Emergent Communicators: A Case for Functional Assessment
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
65. Hours Earned (Pending Verification Code)
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65. Hours Earned
Hours earned per eligible profession
66. Closing Keynote: Applied Behavior Analysis - Scaling up Lessons in Science and Compassion to Education
Eligible Professions: Act 48, BACB, Infant/Toddler, OT, Psych, SW
66. Hours Earned (Pending Verification Code)
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66. Hours Earned
Hours earned per eligible profession

Total Conference Hours and CEUs
Total hours are calculated based on the sessions you attended. A Penn State certificate of attendance will automatically be emailed to you. It will be attached to your email confirmation you receive after submitting this form.
Total Conference Hours Attended
Conference CEUs Earned
Request Professional Hours/CEUs

You must enter your professional ID numbers below to request hours/CEUs.
Note: Ethics hours can be earned with valid BACB, NASP, Psych, or Social Work IDs and Supervision hours can be earned with valid BACB IDs.

After entering an ID, review the corresponding earned hours for accuracy.

Professional certificates will be emailed 4–6 weeks after the September 19 deadline, upon verification that all requirements were completed.
Act 48 ID
Act 48 Total Hours
Hidden
ASHA ID (HIDDEN - NOT USED IN 2022)
Hidden
ASHA Total Hours (HIDDEN - NOT USED IN 2022)
ASHA CEUs are awarded based on run time of the session not the scheduled time. Minutes from all sessions attended will be added and then rounded down to the nearest half hour for submittal. The final ASHA CEU number may differ from the number on this form.
BACB ID
BACB Total Hours
EITA/Infant-Toddler ID
EITA/Infant-Toddler Total Hours
NASP ID
NASP Total Hours
Occupational Therapy ID
Occupational Therapy Total Hours
Hidden
Physical Therapy ID (HIDDEN - NOT USED IN 2022)
Hidden
Physical Therapy Total Hours (HIDDEN - NOT USED IN 2022)
Psych ID
Psych Total Hours
Social Work ID
Social Work Total Hours
Ethics Total Hours
Eligible with Psych, BACB, NASP, or Social Work IDs
Supervision Total Hours
Eligible with BACB ID
Required Information
BACB License Renewal Date*
Format: mm/dd/yyyy
Submit Your Requested Hours/CEUs
Click Submit to request your hours/CEUs. If you notice any problems with the hours above, click "Previous" to go back and correct any fields.

You will receive an email verifying the receipt of your information, including titles of all sessions attended. Your Penn State certificate of attendance will be attached to this email. Save for future reference! This will help serve as proof of attending specific relevant sessions for licensure and recertification boards if necessary.
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Sessions Attended

Total Conference Hours and CEUs

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