PA-AIMH | EASy 7.9

This is the Pennsylvania version of EASy. Be sure you are applying in the version where you reside.

Please fill out the form that follows. Fields marked with an asterisk* are required.

Please allow up to 2 business days for your registration to be processed. Once processed, you will receive a password from the EASy system and will be able to log in to begin working on your application.

Choose your account type:

Membership

Endorsement

Both

Select Endorsement Category

Please select the Endorsement for which you are applying*

This field is required.

Not sure which endorsement category is appropriate? Consult the Category Helper or the Competency Guidelines or contact your Endorsement Coordinator.

Your Profile

Contact Information

First Name*

This field is required.

Last Name*

This field is required.

Email*

Please use a personal email address (yahoo, gmail, etc.) as many agency email servers block emails from EASy.

This field is required.

Work Telephone*

This field is required.

Personal Telephone

Home Address*

This field is required.

City*

This field is required.

State*

This field is required.

Postal Code*

This field is required.

County*

This field is required.

Country

Educational Background*

This field is required.

Professional setting/Sector*

This field is required.

Current Employer

Employer *

This field is required.

Title *

This field is required.

Employer Address *

This field is required.

Reflective Supervision Experience

Name of Supervisor/Consultant

Email of Supervisor/Consultant

Provider credentials

Membership & Documents

Upload Resume/CV

Accepted formats: PDF, DOC, PPT (Max 5MB)

Select Membership Plan

No membership at this time

Individual One-Year Membership $35.00

Student (currently attending an institution of higher education) One-Year Membership $10.00

Review & Submit

Order Summary

Endorsement $0.00

Membership $0.00

Total $0.00

Payment Details

Card Number

Expiry Date

CVV

I agree to receive email notifications from MyEASY for the purpose of communication about my endorsement process

I have read and agree to the MyEASy Privacy Policy

Verification*

Data Category	Examples of Data Collected	Lawful Basis for Processing
Personal Data	Name, address, email, telephone number.	Consent (for account creation and communications) or Contractual Necessity (for membership management).
Special Category Data	Demographic data such as race/ethnicity.	Explicit Consent (as required by GDPR, to be obtained via an affirmative, separate opt-in).
Derivative Data	IP address, browser type, operating system, usage patterns.	Legitimate Interest (to ensure network security and improve service delivery).
Financial Data	Transaction ID, date/type of payment. (No full payment card data is stored by us.)	Contractual Necessity (to process payments for services).
Mobile Device Data	Device model, manufacturer, location information (if enabled).	Consent (for optional location services) or Legitimate Interest (to optimize the mobile application).

Processing Purpose	Lawful Basis
Service Delivery & Management
Create, manage, and email you regarding your account. Process payments and refunds. Resolve disputes and troubleshoot problems.	Contractual Necessity
Business Operations & Improvement
Monitor and analyze usage/trends to improve EASy efficiency. Prevent fraudulent transactions, monitor against theft, and protect against criminal activity. Compile anonymous statistical data and analysis (if fully anonymized).	Legitimate Interest
Communication & Marketing
Contact you with information on Endorsement®, your membership, or other initiatives. Send you a newsletter or solicit support.	Consent or Legitimate Interest
Legal Compliance
Assist law enforcement, respond to subpoenas, or protect our rights/property/safety.	Legal Obligation

Right	Description
Right to be Informed	To be informed about how your data is processed (this Policy serves this purpose).
Right of Access	To request a copy of the personal data we hold about you.
Right to Rectification	To request that we correct any inaccurate or incomplete data we hold about you.
Right to Erasure (The "Right to be Forgotten")	To request the deletion of your personal data when there is no compelling reason for its continued processing.
Right to Restriction of Processing	To request that we limit the use of your data under certain circumstances (e.g., if you contest the data’s accuracy).
Right to Data Portability	To receive your data in a structured, commonly used, and machine-readable format and to transfer it to another controller.
Right to Object	To object to processing based on legitimate interest or for direct marketing purposes.
Right to Withdraw Consent	To withdraw your consent at any time where processing is based on consent. Withdrawal does not affect the lawfulness of processing before the withdrawal.

Category	Purpose	Lawful Basis (GDPR)
Strictly Necessary	To enable core functionality (e.g., login, security, payment processing). The Site cannot function properly without these.	Legitimate Interest (essential for service delivery).
Analytical/Performance	To collect data on how users interact with the Site (e.g., pages visited, error rates) to measure performance and improve the user experience.	Consent (User must actively opt-in).
Functionality	To remember your preferences (e.g., language or region) to provide a more personalized experience.	Consent (User must actively opt-in).
Marketing/Targeting	To track user activity across the Site and other sites to deliver personalized advertisements or communications.	Consent (User must actively opt-in).

Requirement	Purpose
Full Name	To match the request to the data subject.
Email Address(es)	The email address(es) associated with your EASy account or use of the Site.
Country of Residence	To determine the relevant legal framework (e.g., GDPR).
Specific Right Requested	Clearly state which right you are exercising (Access, Erasure, Rectification, Portability, Restriction, or Objection).
Detailed Description	A precise description of the data you are requesting, or the reason for your request (e.g., "I wish to receive all personal data processed in the last 12 months," or "Please correct my street address from X to Y").