ZZOLD NEVER USE THISZZ Temple University Application for Approval of Act 48 Programs

Contact and Program Information

This form is a simplified version of the Pennsylvania Department of Education’s complete Act 48 application. It contains the basic data elements necessary to review your proposed Act 48 offering and to determine that it meets each PDE standard. You will be contacted to discuss any necessary changes or that you can proceed as planned.

If you have a document that you would like to upload to support your Act 48 submission, you can do that at the end of the form.

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* Contact Information

Applicant Name

Department

School or College

Email Address

Phone Number

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ZZOLD NEVER USE THISZZ Temple University Application for Approval of Act 48 Programs

Contact and Program Information

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* Contact Information

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* Title of Program/Offering

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* Proposed Offering Date

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* Proposed Hours (working hours only - do not include lunch or breaks)

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* Have you previously provided Act 48 credits for this program/offering?

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* Anticipated number of attendees for this program/offering?

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* Anticipated number of attendees requesting Act 48 hours?