Chapter Leader: Continuing Education CEU Application

CEU Event Approval Through NASW-CA

This application is for Regional Directors, Assistant Regional Directors, Unit Chairs, and Council or Committee Chairs interested in providing continuing education units (CEUs) to their session participants. The National Association of Social Workers, California Chapter (NASW-CA) is an approved provider for continuing education credits for LCSWs, LMFTs, LPCCs, and LEPs, authorized by the California Board of Behavioral Sciences. Most other states across the nation also accept BBS-approved credits.

CEU participants from other states would have to confirm with their state Board of Behavioral Science and/or other State Licensing Authority to confirm if NASW-CA CEUs are accepted for their license level.

Please submit this CEU application EIGHT (8) WEEKS prior to your education activity start date, to allow adequate time for review, adjustment (as needed), and event promotion following approval of this application.

Note: This event may not be promoted on NASW-CA or affiliated platforms as a CEU event until it has been approved by NASW-CA Chapter staff. If this application is submitted outside of the 8 week requested timeline, and depending on the number of events being processed, you may be asked to reschedule your event to a later date. We will advise you of this need at the earliest possible opportunity.

As a Chapter Leader, you do not have to pay a CE application fee, which ranges between $200 - 3,500 based on number of event occurrences and number of CEU sessions provided in total. A separate application is required for outside organizations seeking CEUs through NASW-CA.

One application is necessary per education activity/session regardless of length of time, number of CEUs offered, or if part of a larger conference, symposium, etc. If you are hosting multiple sessions/events requiring CEUs, you must submit an application for each event/session for approval.

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* 1. Chapter Leader contact information for CE Application Pre/Post Course Reports and CE Correspondence with NASW-CA

Chapter Leader Name

Council/Region/Unit Name and Role of Chapter Leader:

Location of Event In-person or Virtual (if virtual, provide access weblink if available):

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Applications must be submitted at minimum eight (8) weeks prior to the scheduled program date.

I understand and agree to these terms.

I am applying with less than 8 weeks until my educational activity/session start date, and I understand there may be a chapter promotional delay and/or that I may be asked to reschedule the event to a later date.

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* 3. Presenter/Speaker Information. If there are multiple presenter(s)/speaker(s), please see Question 5 and upload additional speaker information.

Presenter Name: First, Last

Professional Licensee Type, Number, State

Employer

Email Address

Phone Number

Has this presenter/presentation been previously approved for CEUs by NASW/NASW-CA or another entity?

History of presenting/speaking on this lecture topic? Yes (when/where?) / No.

Event Title/Topic:

Event Date (DD/MM/YYYY):

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* 4. Please share a short speaker biography here. If there are additional speakers, see Question 5 to upload additional speaker information.

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* 5. If you have multiple presenters/speakers as part of a multi-level training course, panel, symposium or conference, please upload a document that informs us of each and all presenters/speakers name, professional licensee type, licensee number, state of licensure, employer, email address, phone number, and biography, as well as, presenting lecture topic which seeks CEUs, and any relevant history of lecturing on the subject here.

Template provided here.

Please Note: The information requested is required for all California Board of Behavioral Sciences approved CEU providers. In the event our chapter is audited for CEUs dispersed, we will refer to this/these documents for supporting submission.

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* 6. Please upload a document that includes the following information for each session that you are seeking CEU approval. The document must include:

Course Title

Course Location

Date & Time

Total number of CEUs seeking approval (standard 1 CEU for 1 hour of professional development, not including breaks)

Course Description: This may be provided in a paragraph form of 3-4 sentences. If your program has multiple course descriptions, there will be an opportunity to upload all course descriptions below.

Course Learning Objectives (minimum of two)

Course Outline/Agenda

Sample provided here.

Template provided here.

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* 7. Statement on Diversity and Social Justice
NASW-CA places special significance on the social work Value of Social Justice, as well as incorporating diversity, equity, and inclusive practice in its sponsored events and programs. Please write 3-5 sentences explaining how this presentation and speaker will address diversity, equity, and inclusion within the context of the Course Description.

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* 8. Marketing and Communication
NASW-CA Regions, Units, Councils, and Committees may receive support with promoting their events on the Community Calendar. Please allow two weeks in advance for the event to be posted and promoted. This material will be developed and provided after it is approved.

Please share the start and end time of the event

Please share the fees for the event

Please share your registration fees

Please share your deadline for the event registration

Please share if registration is required

Please share the location of your event *if virtual, please provide the link*

Please share the name and contact information for the point of contact for the event

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* 9. As part of your application, NASW-CA staff will review presentation documents, including:

Resumes for all speakers

PowerPoint Presentation or slides for the event/program (PDF or PPT file)

If you have these materials, please upload them below. If you do not have these documents or have additional/larger documents to send, please email them at your earliest convenience to ce@naswca.org to finalize review.

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* 10. Additional Supporting Document.

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* 11. Additional Supporting Document.

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* 12. Additional Supporting Document.

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* 13. Additional Supporting Document.

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* 14. Additional Supporting Document.

As a Chapter Leader, you understand that by submitting this form and receiving approval for this event, NASW-CA staff will provide you with the following items to help you meet CEU provider requirements, and you are committing to completing these requirements as defined by NASW-CA and Board of Behavioral Sciences (BBS) policy:

Sign-In Sheet via SurveyMonkey (Includes participant name, license type, license number if available, license state, email address *needed to send CEU certificate)
Evaluation (sign out) form via SurveyMonkey
CEU Certificate Template (includes CEU provider statement, logo, education activity name, location, date, participant first, last name, and number of CEUs issued), as needed. Alternatively, NASW-CA can email certificates to attendees utilizing the survey responses outlined in 1 & 2 above).

If there are alternative methods you wish to use for your event to meet the requirements above (e.g. paper sign in/evaluations or external registration platform), please let us know. If using alternative methods for meeting CEU requirements, you are responsible for ensuring that copies of all material above are submitted to NASW-CA at ce@naswca.org within ten (10) days of your event. While this is not preferred, we will work with you to identify alternative methods that align with your and the Chapter's needs.

Please click the Submit button below to complete your application.

Thank you for your service to the chapter and to the social work profession! The NASW-CA Team will be in touch with you shortly. Please expect review and response within two weeks of submission, and email ce@naswca.org with any questions.

Reminder: If approved, following your event you are required to submit the NASW-CA Chapter CEU Packet within ten (10) days of your event occurrence.

This can be submitted to ce@naswca.org. Please take the time to review the listed requirements so that you can prepare for your post-event packet submission.

Chapter Leader: Continuing Education CEU Application

CEU Event Approval Through NASW-CA

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* 1. Chapter Leader contact information for CE Application Pre/Post Course Reports and CE Correspondence with NASW-CA

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* 2. Applications must be submitted at minimum eight (8) weeks prior to the scheduled program date.

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* 3. Presenter/Speaker Information. If there are multiple presenter(s)/speaker(s), please see Question 5 and upload additional speaker information.

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* 4. Please share a short speaker biography here. If there are additional speakers, see Question 5 to upload additional speaker information.

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* 8. Marketing and CommunicationNASW-CA Regions, Units, Councils, and Committees may receive support with promoting their events on the Community Calendar. Please allow two weeks in advance for the event to be posted and promoted. This material will be developed and provided after it is approved.

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* 10. Additional Supporting Document.

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* 11. Additional Supporting Document.

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* 12. Additional Supporting Document.

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* 13. Additional Supporting Document.

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* 14. Additional Supporting Document.

* 8. Marketing and Communication
NASW-CA Regions, Units, Councils, and Committees may receive support with promoting their events on the Community Calendar. Please allow two weeks in advance for the event to be posted and promoted. This material will be developed and provided after it is approved.