NASW-AK CE Provider Approvals
  • Application for CE Credit Approval

    The NASW-Alaska Chapter is approved by the State of Alaska to review and approve potential CE course providers. Complete this form if your organization is looking to become a CE course provider and is seeking social work CE approval in the State of Alaska. You can save your progress and complete the form over multiple days.
  • Acknowledgements

  • APPLICATION INFORMATION

  • CE CREDIT APPROVAL INFORMATION

  • REQUIREMENTS OF HOSTING A CE EVENT

  • Provider Information

  • Is your organization non-profit or for-profit?*
  • Organization Contact Person

  • Format: (000) 000-0000.
  • Is the organization contact listed above the same person completing this form?*
  • Application Fees

    Fees are determined based on three factors: (1) whether your organization/department is non-profit or for-profit, (2) how many days long the event is, and (3) whether your application is assessed a rush fee. As a note, applications submitted less than 21 days prior to the event start date will NOT be accepted.
  • Base Application Fee (non-profit organization)
    $150.00 : 1 day event
    $200.00 : 2 day event
    $250.00 : 3+ day event
  • Base Application Fee (for-profit organization)
    $225.00 : 1 day event
    $300.00 : 2 day event
    $375.00 : 3+ day event
  • Rush Fee (applies in addition to base application fee)
    $0.00 : Applications submitted 46+ days from the listed event start date
    $100.00 : Applications submitted between 21-45 days from the listed event start date
         
  • Event Information

  • Event format*
  • How many days long will the event be?*
  • Event date*
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  • Event start date*
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  • Event end date*
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  • First day of event
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  • CE Credit Details

  • Are you seeking CE credit approval for more than 1 session/module during this event?*
  • Which CE credit designation(s) are you seeking for this event? See below for more details.*
  • Please refer to our "CE Designations: Event/Training Requirements" webpage to determine which CE credit designation applies to your event. Courses will default to a General CE designation unless otherwise specified. Specialty topics include: Professional Ethics, Cross-Cultural Education, Substance Abuse Education, Teletherapy Practice, and Suicide Education. The NASW-Alaska Chapter reserves the right to reject a specialty topic CE designation for your event at their discretion.

  • Detailed Minute-by-Minute Event Agenda (synchronous)

    You are required to submit a minute-by-minute event agenda for your event to be considered for social work CEs. This agenda must include a timed breakdown of all of the following as applicable: start time, introductions, presentations/sessions, planned breaks, end time, etc. Include course title(s), date(s), and times. Your detailed hourly agenda MUST line up with the total number of CE credit hours listed above. You can submit your event agenda in one of three ways: [1] provide a website URL, [2] submit a file (PDF/DOC/DOCX file types only), and/or [3] enter the information into a text box.
  • Detailed Minute-by-Minute Event Agenda (hybrid)

    You are required to submit a minute-by-minute event agenda for your event to be considered for social work CEs. This agenda must include a timed breakdown of all of the following as applicable: start time, introductions, presentations/sessions, planned breaks, end time, etc. Include course title(s), date(s), and times. For on-demand/asynchronous sections, please list exactly how long each section of the program actually is and/or is estimated for participants to take. Your detailed hourly agenda MUST line up with the total number of CE credit hours listed above. You can submit your event agenda in one of three ways: [1] provide a website URL, [2] submit a file (PDF/DOC/DOCX file types only), and/or [3] enter the information into a text box.
  • Detailed Minute-by-Minute Event Agenda (asynchronous)

    You are required to submit a minute-by-minute event agenda for your event to be considered for social work CEs. For on-demand/asynchronous courses, please list exactly how long each section of the program actually is and/or is estimated for participants to take. Your detailed hourly agenda MUST line up with the total number of CE credit hours listed above. You can submit your event agenda in one of three ways: [1] provide a website URL, [2] submit a file (PDF/DOC/DOCX file types only), and/or [3] enter the information into a text box.
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  • Program Objectives

  • Which of the following social work principles and methods as defined by the State of Alaska apply to your event?*
  • Social Worker Involvement

    It is recommended, though not required, that an Alaska-licensed social worker be apart of the development of your event.
  • Social Worker Involvement

    You indicated that you are seeking a "Professional Ethics" CE designation for your event. To be considered for "Professional Ethics" CE credits, an Alaska-licensed social worker MUST be apart of the development and review of your event to be considered for approval. Enter the information of the social worker involved in the planning of this event below.
  • Was an Alaska-licensed social worker involved in the development of your event?*
  • Is this social worker's license free of violations?*
  • Alternative Learning

    You indicated that your event format will be hybrid, live webinar, online synchronous, or on-demand/self-study. Answer the questions below to explain how you will utilize your selected alternative format.
  • Presenters and References

  • How many presenters are there for this event?*
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  • Bibliographic References

    Click here to review bibliographic citation examples

    1. You are required to list at least 3 bibliographic references in order for your application to be considered.

    2. Bibliographic references must be listed in APA style.

    3. Acceptable sources for bibliographic references include scholarly works such as peer-reviewed journal articles, academic books, and encyclopedias.

    4. Unacceptable sources for bibliographic references include non-academic works such as websites, entertainment magazines, and blogs.

    5. At least 2 references must have been published within the last 5 years.

    6. Websites may be listed as an optional 4th bibliographic reference only if it is a direct link to the topic being presented.
  • Events With Multiple Sessions/Modules

    You indicated that you are seeking CE credit approval for more than 1 session/module during this event. As such, you need to submit one copy of our "Events With Multiple Sessions/Modules" form for each breakout session, keynote, plenary, module, etc. you are seeking CE credit approval for. Below are instructions for completing this step:

    1. Download the "Events With Multiple Sessions/Modules" fillable PDF form
    2. Complete separate copies of the form for each session/module you are seeking CE credit approval for
    3. Upload all of the completed forms using the file upload box below
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  • Documents Upload

  • You can submit documents in one of three ways:

    • Provide a website URL,
    • Submit a file (PDF/DOC/DOCX file types only), and/or
    • Enter the information into a text box

    Example forms can be found below. Your forms do not have to look like the examples. Draft versions may be used.

    • Event agenda (example)
    • Course evaluation form (example)
  • You can submit documents in one of three ways:

    • Provide a website URL,
    • Submit a file (PDF/DOC/DOCX file types only), and/or
    • Enter the information into a text box

    Example forms can be found below. Your forms do not have to look like the examples. Draft versions may be used.

    • Event agenda (example)
    • Course evaluation form (example)
    • Graded post-test (example)
  • Document #1: Event Agenda [REQUIRED]

    The timed agenda you listed previously in this application should autopopulate below, meaning this section should already be completed for you. Should you want to provide additional details and/or modify the autopopulated information, you are welcome to do so.

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  • Document #2: Course Evaluation [REQUIRED]

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  • Document #3: Graded Post-Test [REQUIRED]

    You indicated that your event will be in an asynchronous format (on-demand/self study/etc.). For asynchronous content to be considered for social work CEs, graded post-tests are required in lieu of traditional attendance tracking. You should include approximately 5 multiple choice questions per 0.5 CEs of content with no more than 50% of questions being in true/false format. Attendees must get 70% of questions on the post-test correct in order to receive CEs for the content.

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  • Additional Documentation

    Examples of additional documentation you may want to submit include event fliers, brochures, programs, etc.

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  • Submit

  • Based on the following information you provided, payment is not required to submit this application:

    • Organization Status: {isYour16}
    • Event Length: {howMany46}
    • Listed Event Start Date: {firstDay}
  • Your fees are based on the following information:

    • Organization Status: {isYour16}
    • Event Length: {howMany46}
    • Listed Event Start Date: {firstDay}
  • How would you like to pay for your application?*
  • Amount Due*

    prevnext( X )
    USD

    Credit/Debit Card

  • Today's date*
     - -
  • Tentative response due date (card payments only)
     - -
  • Should be Empty: