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NASW-AK PRESENTER APPLICATION

1.Presenter name(Required.)
2.Presenter email address(Required.)
3.Presenter phone number(Required.)
4.Presenter current employer and position/title(Required.)
5.Presenter degree, credentials and certifications(Required.)
6.Short presenter bio, including where you received your degree(Required.)
7.Title of presentation(Required.)
8.Length of Presentation (50 minutes = 1 CE credit(Required.)
9.Which CE category does your presentation fall into?(Required.)
10.How is your presentation related to the practice of social work, and how does it enhance social work practice?(Required.)
11.Outline at least three goals and objectives of your presentation(Required.)
12.List three current publications of reference in APA format. Bibliography must include three references relevant to the content of this presentation, not the presenter. At least one reference must be current within the last five years. (i.e., National Association of Social Workers. (2021). Code of Ethics of the National Association of Social Workers. Washington, DC. NASW Press.) Wikipedia is not a valid bibliographic reference.(Required.)
13.Which delivery method will you use for your presentation?(Required.)
14.Do you give NASW-AK permission to record and add your presentation to our CEU library for future self-study?(Required.)
15.I understand that NASW-AK staff may make minor changes to event content submitted (i.e., event name, description) to meet digital communications/marketing strategic plan objectives, to be consistent with other NASW-AK communications, and to meet continuing education requirements; and that final cost, CE designation and honorarium will be determined by NASW-AK staff.(Required.)
Thank you for your interest in providing continuing education to social workers in Alaska! If you are the only presenter for your presentation you may submit your survey now. If there are additional presenters, please fill out the following information for EACH presenter in your group.
OPTIONAL SECTION FOR USE WHEN THERE ARE ADDITIONAL PRESENTERS
16.Presenter name
17.Presenter email address
18.Presenter phone number
19.Presenter current employer and position/title
20.Presenter degree, credentials and certifications
21.Short presenter bio, including where you received your degree