PSHFE 2024 Fall Conference Educational Attendee Registration Form

September 19 & 20, 2024

Red Lion Hotel Harrisburg Hershey

4751 Lindle Road

Harrisburg, PA 17111

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* 1. First Name

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* 2. Last Name

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* 3. Title

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* 4. Organization Name

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* 5. Street Address

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* 6. City

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* 7. State

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* 8. Zip Code

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* 9. Email Address

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* 10. Phone Number

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* 11. I am registering for (check all that apply):

September 19th facility tour - included in Friday's registration fee, but is optional to attend

September 20th sessions - Member fee $125 (skip to question 13)

September 20th sessions - Non-member fee $175 (skip to question 13)

September 20th sessions - complimentary (must be employed by a healthcare provider facilities/engineering department less than 5 years, not a current member of PSHFE, and have never been to a PSHFE conference)

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* 12. How long have you been employed as a healthcare facility manager?

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* 13. Similar to past conferences, we will have representatives from the PA Department of Health (both DSI and DAAC) presenting on Friday afternoon. If you have any specific topics you would like to hear about, or any questions you would like answered, please submit them so we can let them know to address them during their presentations.

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* 14. Please list any special accessibility or dietary needs.

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* 15. Will you need a certificate of completion for ASHE CEU credits?

Yes

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* 16. Will you be attending the Thursday evening reception?

Yes

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* 17. Will you be attending the Friday morning continental breakfast?

Yes

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* 18. Are you a current ASHE member?

Yes