Pennsylvania Safety and Driver Education Teacher ...

Pennsylvania Safety and Driver Education Teacher Certification Assessment Registration

To apply to take the PSDETCA, please complete the following registration. Please print or type in blue or black ink.

Once the application is submitted, you will receive notification as to your scheduled test date and time. The test is administered every Thursday at 10:00 A.M. at PaTTAN Harrisburg. Allow approximately two hours to take the test.

Name: _______________________________________________________________________

PPID Number: ______________

Date of Birth__________________

Street Address: ________________________________________________________________

Apartment Number: ___________________________________________________________

City: _________________________________________________________________________

State: ________________________________________________________________________

Zip Code: ____________________________________________________________________

Daytime Telephone Number: ____________________________________________________

Email Address: ________________________________________________________________

Requested test date(s): __________________________________________________________

Signature: _____________________________________________________ Date: _________

Submit your complete application to:

johkashatu@ or Mr. John V. Kashatus School Safety Education Advisor Pennsylvania Department of Education 333 Market Street, 5th. Floor Harrisburg, Pa. 17126-0333

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