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CHNP : CEUs Requst Form

To receive CEUs for the “Being Culturally Responsive in Urban Settings: A Conference for Mental Health Providers, Educators, and ALL Working with Culturally Diverse Families” NASW require that you SIGN-IN by 9a and SIGN-OUT after 4:30p each day.

If you are an MSW, LCSW, LICSW, or other attendee desiring CEUs, you are encouraged to facilitate this process by completing this form.  There will also be an opportunity to sign up for CEUs on-site.

*Required

Name*


Email*

Degree OR Profession*
 MSW LCSW LICSW PhD PsyD JD Clergy Student Other

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