Request for NASW CEs: ZERO TO THREE Annual Conference 2021

Registrant Information

Complete your request for NASW CEs by filling in the information below. NASW CEs will only be approved for live sessions attended for a maximum of 13 hours. Your request will be processed and approved electronically within 30 business days. If you have any questions or concerns, please email: ceu@zerotothree.org.

Contact Information *This question is required.

First Name

Last Name

Credentials/ Social Work Degree/ Other

Title

Company Name

State

Country

Email Address

Phone Number

Please confirm the following:
(Reference this image to assure you've completed a session. The circled areas should have a green check mark for each session)

Space Cell	Yes	No
I understand that I will only receive credit for sessions that have a completed "CEU Survey" on the Conference site.	I understand that I will only receive credit for sessions that have a completed "CEU Survey" on the Conference site.: Yes	I understand that I will only receive credit for sessions that have a completed "CEU Survey" on the Conference site.: No
I have completed all CEU Surveys for the sessions I'd like to attain credit for.	I have completed all CEU Surveys for the sessions I'd like to attain credit for.: Yes	I have completed all CEU Surveys for the sessions I'd like to attain credit for.: No