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MPG Consulting: CEU Course Registration
Register here to receive CEU credits for Undoing Racism Workshops.
By completing this form, you are requesting credit for a continuing education course.
Upon completing the course, you will be asked to fill in and submit an evaluation survey. Once you have completed the evaluation, you will be issued a certificate of completion recognized by the New York State Education Department's State Board for Social Work.
This Form Must Be Completed Before Your Workshop Takes Place in Order to Receive CE Credit. CE Credit Will be Awarded 7-10 Days After Attending the Workshop and Completing an Evaluation.
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Full Name
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(First Name) (Last Name) This will appear on your certificate and must be recognized by the NYSED Office of Professions
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(0 points)
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Email
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Enter your working email address. You will receive the evaluation and certificate at this address.
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License/Degree
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1.
LMSW
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LCSW
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LMFT
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LMHC
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LCAT
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Licensed Psychoanalyst
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License Number
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(e.g. 73-555555, 555555) For NYS approved licenses, only.
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Title of Workshop/Course
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Date of Workshop/Coursework
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Address of Workshop (street address, city, state, zip)
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This Form Must Be Completed Before Your Workshop Takes Place in Order to Receive CE Credit. CE Credit Will be Awarded 7-10 Days After Attending the Workshop and Completing an Evaluation.
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