PA Keys to Professional Development Approval for Special Events/Conferences Guidelines: Upon approval, PA Key will issue an eventspecific professional development/instructor approval (i.e. PAKC-XXXXX) that indicates PQAS approval for the event. This notice will be sent to the contact person listed below via email. Once the event has occurred, you will have two weeks to complete all necessary documentation in the system. A Special Event/Conference PQAS request is for multi-session, multi-instructor events or for national speakers. The Organization that is sponsoring the event must request approval at least 2 weeks prior to the event. Please submit: o Goals and purpose of the event o List of the instructor(s) and PQAS number(s), if applicable o Background of the instructor(s) o Description of session content o Core Body of Knowledge (CBK) or Core Knowledge Competencies (CKC) Code for each session PA Key will provide a PQAS number (PA Key will create a special PQAS number for such events, which can be used in granting credit hours). PA Key will maintain a database of these approvals to ensure that there are no individuals who repeatedly seek this “special circumstance” in lieu of an individual PQAS number. Please Note: Sessions/Events that require individual PQAS approval include: CPR, First Aid, Mandated Reporter, Fire Safety, and Water Safety. College courses do not qualify for Special Event or Interim PQAS. Title of Event: Date(s) of Professional Development Event: Number of Professional Development Hours (excluding breaks and lunch): County Where Event is Located: Name of Sponsoring Organization: Address: ______ City: State: Zip Code: Name of Contact Person: Phone: Email: Instructions Complete this form and attach the following documentation: o Professional Development Event Description/Brochure o Presenter(s) with short bio or resume, include individual’s PQAS number where applicable o Title, Description, CBK or CKC Code, and instructor(s) for each session More information about Pennsylvania’s Core Body of Knowledge (CBK) and Pennsylvania’s Core Knowledge Competencies (CKC) are available on the PA Keys to Professional Development website at www.pakeys.org for coding purposes. Fax completed form to: 717-213-0585 or email to pqas@berksiu.org. For Internal Use Only: PQAS Number: ____________________ Date Emailed:______________________ Initials:________ Pennsylvania Early Learning Keys to Quality (Effective 11/1/13)