NASW-NJ CE Approval Collaborative App Form

NEW JERSEY SOCIAL WORK CONTINUING EDUCATION APPROVAL COLLABORATIVE

Thank you for applying to the NJ Social Work Continuing Education Approval Collaborative, provided by the National Association of Social Workers - New Jersey Chapter. The CE Approval Collaborative offers individual course approvals to those who offer cutting-edge, beneficial courses to New Jersey social work professionals. The CE Approval Collaborative is committed to ensuring that members of our profession demand high quality education.
CE Approval Collaborative - Course Renewal Application Form

Course Renewal: Courses that have been previously approved by the NASW-NJ CE Approval Collaborative may be renewed once for the next licensing cycle after the original approval, ONLY if content or presenter information have not changed. After this, a new application must be completed to ensure all information is up to date.
UPDATE: This form can no longer be saved as a draft and returned to. If you are not ready to complete this application and pay in full, save all of your course information in a Word Document until you are ready to submit.

Application Instructions:
- Please complete the application thoroughly; complete all sections. Be sure to include all attachments.
- Applications are processed on a first come, first served basis.
- Submit application information at least ninety (90) days prior to each program. (NO EXCEPTIONS)
- Applications cannot be reviewed unless payment and all requested information are received.
- Allow 8 weeks for processing and review (after a correctly completed application and payment have been submitted) to be notified of the program status.
- Please provide the information requested in the required field. Attachments cannot be substituted for the requested information.
- All fields must be completed. Indicate n/a if the question is not pertinent to your course offerings.
- Documents placed in the appendix and/or uploaded as attachments must be clearly numbered and labeled according to the section(s) they support.
- Please be sure to attach documents required for the specific type of course you are providing.
- Questions? Please be sure to review the Application Guidelines and Explanation of Terms and Requirements which can be found at www.naswnj.org.
  
  For more information contact Annie at 732-296-8070, ext. 128
  asiegel.naswnj@socialworkers.org.
Renewal Information:

Please note: If your course was approved for the first time in the last licensing period (September 1, 2016 through August 31, 2018), then the renewal application can be used. If your course was approved for the first time before September 1, 2016, and has already been through the renewal process, a new application must be completed to ensure all course information is up-to-date.

Decisions will be made on a first-come, first -serve basis and all final decisions will be granted within 6 to 8 weeks. All renewals must be submitted by June 29, 2020 for consideration. Otherwise, you will be required to submit the application for initial review again.

This application is only for courses that have been approved previously by the NASW-NJ CE Approval Collaborative. If your course has been approved previously by other approval entities (but not the NASW-NJ CE Approval Collaborative), a new application must be submitted.

The CE Approval Collaborative recommends that you locate the original approval letter you received for your initial approval. Please consult that document accordingly which will help you prepare for the renewal more expeditiously and ensure that all information is up-to-date and accurate.

An application for renewal will be accepted only if there are no substantial changes to the course. A substantial change includes changes to the length of program, presenter(s) or content. When you are renewing a course that has been approved, you are certifying that you have not made any substantial changes to the course which afforded you the original approval and you wish to offer the course again in a different licensing cycle. Reasonable updates to provide new research are acceptable. Otherwise, a new application must be submitted.
This application is for program RENEWALS only. If you are looking to submit an initial application, please return to our website for the proper link. *

This application has been previously approved by the NASW-NJ CE Approval Collaborative.
Contact Information
Applicant Name (Individual or Organization): *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number
Website URL:
Contact Person: *
Contact Person's Email: *
Contact Person's Phone Number *
Have you/your organization had individual course approval with OTHER approval entities for the course in which you are submitting this application? If so, please include entity name, whether course was approved or denied and, if applicable, date approved and approval number: *
If this does not apply to you, please indicate N/A.
Previous CE Collaborative approval number: *
Previous CE Collaborative approval date: *
Course Overview
Course Title: *
Course Location: *
Course Date(s): *
Number of Continuing Education credits previously approved for: *
(One credit for each hour of course work.)
Type of credits previously approved for: *

Clinical (One of the presenters MUST have a clinical license.) Non-clinical Clinical & Ethics Non-clinical & Ethics Clinical & Social and Cultural Competence Non-clinical & Social and Cultural Competence Prescription Opioid
Course Delivery Method(s)
Has the workshop style or type changed since previous approval? (i.e. live workshop, web presentation, webinar, etc.) *

Yes No
If yes, please explain:
Course Content
List any reference updates since previous approval, as evidence of supporting research (bibliography): *
Bibliography must be in APA format and at least half of the references must be current sources within the last 5 years.If this does not apply to you, please indicate N/A
Please indicate any course updates or changes, since previous approval: *
If there are none, please indicate N/A. Any additional supporting documentation can be uploaded in the Appendix below.
Records & Attendance
Please include a copy of your updated sample certificate, in accordance with guideline specifications: *

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Promotion & Advertising
Please include a copy of any updated course promotional materials, in accordance with guideline specifications:

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If there are multiple files, additional uploads can be made in the Appendix section below. Cancel of
Appendix

Provide any additional supporting material for your proposal here. Be sure to clearly number and label according to the section it supports. Please also ensure that all items are in order as they appear in the application.
Appendix Upload 1:

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Cancel of
Appendix Upload 2:

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Cancel of
Appendix Upload 3:

Browse Files

Cancel of
Appendix Upload 4:

Browse Files

Cancel of
CE Approval Collaborative Renewal Agreement
Please indicate agreement with a check placed on line next to each item. *

I understand that the information in this document will remain confidential, subject to disclosure within The CE Approval Collaborative, upon request, necessary to comply with assessment criteria. I certify that the information provided herein is accurate and, if approved, I agree to abide by all the criteria outlined in this application. I understand that the renewal payment is non-refundable. Should this course be renewed, approval is valid for the only the next biennial licensing period after which it was submitted. During an approval time period, the approved course can be offered an unlimited number of times as long as there are no content changes (this does not apply to those submitted as conferences). Courses are only able to be renewed for one licensing period. I understand that should I wish to offer the course following the expiration of a renewal, an initial application must be submitted again in full. I have read and approved this renewal application, and verify that the information provided herein is accurate, consistent with social work ethical conduct and core values as defined in the “Explanation of Terms.”
Name of Applicant: *
If approved, your program will be listed on our approved listing. Provide the website address or contact email you wish people to use to get in touch with you:

My Products *

Individuals or Non-Profit Renewal Application $ 100.00

Quantity

For-Profit Renewal Application $ 200.00

Quantity

Enter coupon

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

NEW JERSEY SOCIAL WORK CONTINUING EDUCATION APPROVAL COLLABORATIVE

CE Approval Collaborative - Course Renewal Application Form

Contact Information

Course Overview

Course Delivery Method(s)

Course Content

Records & Attendance

Promotion & Advertising

Appendix

CE Approval Collaborative Renewal Agreement