New Jersey Ofce of the Attorney General
Division of Consumer Affairs
State Board of Social Work Examiners
124 Halsey Street, 6th Floor, P.O. Box 45033
Newark, New Jersey 07101
(973) 504-6495
Website: www.NJConsumerAffairs.gov/social/
Application for Board Acceptance as a Continuing Education Approval Entity
(To be renewed annually pursuant to N.J.A.C. 13:44G-6.7(b))
Date: ____________________________
Please submit with this application a certied check or money order for $100.00 made out to the State of New Jersey. It is
also required that you submit a sample course application form.
Name of Organization: _______________________________________________________________________________
Address of Organization: _____________________________________________________________________________
Telephone number:___________________________ E-mail address: _________________________________________
(include area code)
Contact person: ____________________________________ Contact’s telephone number:_________________________
(include area code)
1) Does your organization require an applicant for continuing education course approval to indicate whether it has applied
to another entity for approval, and to report if such application has been denied by the other entity?
Yes No
2) Does your organization have in place a complaint process for continuing education sponsors who are displeased with
the results of the approval process to have the option to appeal to the State Board of Social Work Examiners
when a course fails to be approved? Yes No
3) Does your organization have in place a complaint process through which attendees of approved continuing education
courses may register complaints with your organization with an option to appeal to the Board if an attendee is displeased
with the results of the process? Yes No
4) Does your organization list all approved continuing education courses on its website? Yes No
5) Does your organization require sponsors to maintain attendance records for at least ve (5) years? Yes No
6) Does your organization use only Certied Social Workers, Licensed Social Workers or Licensed Clinical Social
Workers in good standing to review continuing education courses? Yes No
7) Does your organization approve continuing education courses only, but not continuing education sponsors?
Yes No
8) Does your organization require that continuing education courses comply with the requirements of
N.J.A.C. 13:44G-6.3? Yes No
9) Does your organization require applying continuing education sponsors to clearly lay out how many credits will be
earned by completing a particular course, and whether those credits are in clinical practice, ethics, cultural competency
or general social work? Yes No
