PASD Seizure Training Confirmation
PLEASE READ CAREFULLY!

After finishing this online training, please fill out the form below to confirm your completion.  PLEASE CAREFULLY ENTER YOUR EMAIL ADDRESS BELOW.  In order to receive an automated email confirmation of your completion of this training, YOUR EMAIL ADDRESS MUST BE ENTERED CORRECTLY BELOW.  

If you are using your PASD Outlook email address, it will be your username followed by @punxsy.k12.pa.us.  
If you are using your PASD Gmail address, it will be your username followed by @pasdk12.us.  
If you do not have a school email address, you may use a personal email.

After submitting this form, you will receive an automated email confirmation with a copy of your responses.  Please save/print this email for your records.
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Email *
First Name *
Last Name *
Building Where You Work *
Date you completed the training *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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