FOR CE COMMITTEE
Check Received _______
Date Approved  ________
Number of Hrs Approved _____
Notification to Sponsor _______
NATIONAL ASSOCIATION OF SOCIAL WORKERS
APPLICATION FOR SOCIAL WORK CONTINUING EDUCATION HOURS
Date:______________________
SPONSOR (Individual or agency) _______________________________________________________
ADDRESS: _____________________________________CITY: _____  STATE:____ ZIP: ________
PHONE: __________________   FAX:____________________  EMAIL: _______________________
CONTACT PERSON (if other than above): ______________________________________________
CONFERENCE OR TRAINING TITLE: ________________________________________________
	
DATE: _______________________________________________________________________
TIME: _______________________________________________________________________
LOCATION: __________________________________________________________________ 
FEE(S): ______________________________________________________________________
Describe the specific course content and attach the time schedule and program agenda:
List the learning objectives: ___________________________________________________________
___________________________________________________________________________________
How will these objectives be measured? (Attach any evaluation instrument to be used)
___________________________________________________________________________________
Please attach a resume or curriculum vitae for EACH trainer or presenter.  If this is 
not available, please summarize the presenter's qualifications and relevant 
background to the presentation.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Describe or attach a copy of the method of registration, documentation of attendance 
to verify the number of hours an individual attended, and the certificate of 
completion that will be awarded.
Please submit $10.00 per credit hour with the above information to:	
NASW, Hawai'i Chapter
677 Ala Moana Blvd. Ste 911
Honolulu, HI  96813
 
INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR
SOCIAL WORK CONTINUING EDUCATION HOURS
Please answer each item completely. Incomplete applications will be returned to
the applicant.
A separate application must be submitted for each event.
The policies for approval of continuing education hours are as follows:
Policies
Continuing education hours will be approved in 1- hour increments only.
Continuing Education hours will be approved for conferences, workshops, and 
trainings that are a minimum of 2 hours teaching time.  
Continuing Education hours will be approved for agency in-service trainings 
that are at a minimum of 1 hour teaching time.
There will be an application fee of $10.00 per credit hour.  If  the same 
program or event will be offered at different times or at different locations, 
a $10.00 per credit hour fee must be submitted for each time the program will 
be offered. Approval of CEUs does not constitute NASW's endorsement of event 
nor does it necessarily represent positions of NASW. 
Criteria for Approving Social Work CE Hours
The criteria to determine whether social work continuing education hours will be 
awarded will include but is not limited to:
1)  relevance to social work practice;
2)  a clearly articulated statement of the educational goals and objectives;
3)  qualification of presenter (by educational degree and/or other experience in 
	training);
4)  evaluation instrument;
5)  documented method for registration, verification for hours of attendance and certificate of     
      completion of training
A check or money order payable to NASW Hawai'i Chapter must accompany the 
application.
Applications must be received by NASW Hawai'i Chapter at least two (2) weeks 
prior to the event.
Verification will be mailed to the applicant stating the number of continuing 
education hours approved.
Applicants may advertise that "NASW CEU credits are pending".
If verification for approval is not received before the event, participants names and 
addresses requesting CEUs should be documented and certificates of approval may be 
sent after the event. 

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