External Provider Application - National Association of Social Workers Texas

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External Provider Application

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Please review the NASW/Texas Guidelines for Granting Continuing Education Hours and submit application information at least two months prior to each program. Applications for continuing education will not be reviewed until all information is included on the application below. This application must be accompanied by the $50 application fee before it will be reviewed. There is an additional $10 late fee for any application received less than six weeks prior to the workshop date.

If approval is required 7 business days or sooner from the date of the event, an EXPRESS FEE of $50 will be charged in addition to the $60 Rush Application Fee. This additional fee will be charged before it will be reviewed (if applicable).

Please review the External Provider Application Requirements and make sure to complete the Education Documentation form and gather CVs prior to starting the application process.

Download an Education Documentation form sample.
Download a blank Education Documentation form Template as a Word document.

Completing an application for an NASW/Texas Branch workshop? Please fill out the Branch Continuing Education Approval Application. (Login required)

Please note: Upon approval and completion of event, there will be an additional charge of $10 per CE certificate requested. Further instructions will be sent to you in your approval letter.

If you are submitting this application less than 6 weeks prior to event, click here.

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Part I. Applicant Information
Organization Name *
First Name		Last Name *
Title *
Phone *		Email *
Address
Address Line 2
City *		Zip Code *
Website

Part II. Program Information
Title of continuing education program *
Indicate the proposed date(s), times and location of your program.
Only the first row is required. Each application is approved for up to four dates for the same seminar as long as all four dates are indicated on the original application and are scheduled within a calendar year of original submission. Another application must be submitted for additional dates
(1) Date and Time *		(1) City, State *
(2) Date and Time		(2) City, State
(3) Date and Time		(3) City, State
(4) Date and Time		(4) City, State
Describe your system for selection and supervision of qualified instructors. *
Describe how your organization selects the topics for its programs. *
Are there any co-sponsors of this program? *	Yes No	If yes, please list:
Who is the target audience for your program? *		List the expected number of participants. *
Instructor(s) Name(s) *
Has the instructor ever had disciplinary action taken against his or her professional license? *Please note that affirmative answers to this questions may result in denial of program approval.	Yes No	Has the instructor been convicted of a crime related to their professional practice? *Please note that affirmative answers to this questions may result in denial of program approval.	Yes No
Statement of how course is related to or enhances the practice of social work. *
Disclaimer:
Per the forthcoming rules, continuing education that was previously identified as “Cultural Competency” is now labeled “Human Populations.” The breadth and scope of the topics remain unchanged.
Total Number of Hours requested. *
Number of Ethics Hours requested. *Enter 0 if no ethics hours requested.		Number of Supervision Hours Requested. *Enter 0 if no supervision hours requested.
Number of Human Populations Hours requested. *Enter 0 if no Human Populations Hours requested.
For Ethics Approval:
The workshop must reflect a majority of the six ethical standards listed in the NASW Code of Ethics including Service, Social Justice, Dignity and Worth of the Person, Importance of Human Relationships, Integrity and Competence. Background of presenter should reflect competence in ethical training. Workshop must demonstrate relevance to social work practice. Workshop should allow time for discussion of implications for social work practice.
For Supervision Approval:
The workshop/presentation must address one or more elements found in the Texas State Board of Social Worker Examiners supervision course content guidelines. The workshop/presentation should enhance recipient’s professional knowledge and skill about supervision so that they can successfully engage supervisees. The workshop/presentation should have specific objectives that relate to supervision of social work supervisees. The background of the presenter should reflect competence in supervision, as is evident in the presenter’s bio and/or CV.
For Human Populations Approval:
The workshop/presentation should focus on cultural diversity or competency. This should include, but is not limited to, continuing education regarding age, disability, ethnicity, gender, gender identity, language, national origin, race, religion, culture, sexual orientation, and socio-economic status. The workshop/presentation should enhance recipient’s professional knowledge and skill about cultural diversity or competency, or their own identity as it relates to these topics. The workshop/presentation should have specific objectives that relate to cultural diversity or competency. The background of the presenter should reflect knowledge about how cultural diversity or competency impact social work values and practice, as is evident in the presenter’s bio and/or CV.

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