Preferred Systems, Inc.
1341 West 6th Street
Erie, PA 16505
Secure Registration Form
Screening and Assessment
July 21, 2017
: Enter your email address and zip code below to lookup your information. You must enter the same information that you used to register for past courses.
Zip / Postal Code:
: If this is your first time registering, or if you are unable to lookup your previous information, please complete the entire registration form below.
Check here if the phone number you provided is your mobile phone.
please provide your mobile phone number to receive alerts regarding this course and a quick access pass for check-in on the day of the course.
Select Credit Type
When selecting multiple credits, you will only be charged
for the highest individual credit certification requested.
Pennsylvania Certification Board (PCB) - 6.00 Continuing Education Credit Hours ($40.00)
National Board for Certified Counselors (NBCC) - 6.00 Continuing Education Credit Hours ($40.00)
National Association for Addiction Professionals (NAADAC) - 6.00 Continuing Education Credit Hours ($40.00)
National Association of Social Workers - PA Chapter (NASW-PA) Member - 6.00 Continuing Education Credit Hours ($60.00)
National Association of Social Workers - PA Chapter (NASW-PA) Non-Member - 6.00 Continuing Education Credit Hours ($75.00)
Total Amount Due:
Select Payment Method
Bank Account Type
Payment must be received prior to attending the course.