Trauma and Youth in Foster Care Self-Study

Self Study Registration: Trauma and Youth in Foster Care

Registration

First Name *

Last Name *

Title

If no employer, please write N/A

Organization Name *

Street Address *

City *

Country

State *

Zip Code *

Phone *

Email *

If you are not a NASW Member, please type N/A.

NASW Member Number *

If you are not a member of NASW-NYS, please indicate what NASW Chapter you belong to.

NASW Chapter

NYS License Number

Credentials

ADA Accommodations

Visual

Audio

Other

ADA Specific Needs

Event Fee(s) *

NASW-NYS Member/PEF - $ 0.00

Total

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Continuing Education Provider Information

NASW-NYS is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for:

Licensed Social Workers (Provider ID #0014)
Licensed Mental Health Counselors (Provider ID #MHC-0053)
Licensed Marriage and Family Therapists (Provider ID #MFT-0037)
Licensed Psychologists (Provider ID #PSY-0088)