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EmpowerED Partner Intake Form

EmpowerED Partner Intake Form

Thank you for your interest in EmpowerED’s Continuing Education (CEU) offerings for your organization. We’re delighted to learn more about your team’s training needs and explore how we can support your professional development goals.

To get started, please complete our brief Partner Intake Form below so we can prepare a customized proposal that includes group pricing and program options based on your organization’s CEU needs. Once submitted, a member of our team will review your information and follow up with next steps and onboarding details for your group.
1.Organization Information:(Required.)
2.CEU Interest & Group Details(Required.)
3.CEU Topics of Interest (check all that apply):(Required.)
4.Are you interested in customized training for your team?(Required.)
5.Is a Purchase Order Required?(Required.)
6.Invoicing Email (if different)
7.Payment Method Preference:(Required.)
8.Additional Notes(Required.)
Please click the Submit button below to complete your application.

Thank you for completing this form! The NASW-CA Team will be in touch with you shortly. Please expect review and response within two weeks of submission, and email support@naswca.org with any questions.
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