Salutation		First Name*		Last Name*
E-mail*				Title*
Job Function*	...select one... Executive Mgnt. Admin. Support Multi-site Director Site Director Program Director Direct Line Staff Volunteer		Organization Name*
Site Name*			<<=== (Enter "NA " if single site organization)
Site Address*				City*
State*				Zip Code*
Telephone*			Ext.	Website
As of January 1, 2005, PASE has initiated fees for services, with a discount for Members. My agency is a PASE member - Yes No See the growing list of PASE Members Become a PASE Member Today!

* Click the boxes next to the trainings you would like to attend

	9/13 & 9/14 -- (NYCF-ERP) -- Establishing and Sustaining an Emotionally Responsive Program This training has been postponed until further notice.
	9/30 & 10/1 -- (NYCF-MTHS) -- Middle School Program Institute - Transition to High School Registration will be confirmed upon receipt of payment Pay for this Workshop Now!

* Agree to PASE Training Policies and Procedures read PASE Training Policies and Procedures
	I AGREE to PASE Training Policies and Procedures

* Payment
	I have PRE-PAID online via PayPal™
	I agree to make payment by CALLING PASE WITH CREDIT CARD INFORMATION by payment due date
	I agree to make payment by CHECK OR MONEY ORDER made out to Partnership for After School Education, Inc. must be received by payment due date
	If you are applying WORKSHOP CREDIT, please contact PASE at 212-571-2664 prior to completing your registration.

Keep me updated by email on upcoming afterschool training offerings, funding opportunities, newsletters, and advocacy updates!
Yes No