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Provider Survey

ACE Provider Survey

For currentACE-Approved Providers ONLY

Please provide the following information so we may include your organization in our online provider search.

Contact Information (to be published on ASWB's website)
Provider:
ACE Provider Number:
Street Address:
City
State/Province
Postal/ZIP Code
Phone:
Toll Free Phone:
Email:
Website:
Contact Name:
Title:
Course Offerings  
What kind of course content do you offer social workers? Check all that apply.
Administration & public policy
Billing practices
Boundary issues
Client rights
Confidentiality
Conflicts of interest
Diagnosis/assessment
Diversity issues
Domestic violence
Dual or multiple relationships
Fraud
Gerontology
HIV-AIDS
Human development & behavior
Informed consent
Law
Mandatory reporting
Medicine
Professional competency
 Professional impairment
Psychology
Psychopharmacology
Psychotherapy
Record keeping
Research/practice evaluation
Service delivery
Sexual abuse/assault
Sexual misconduct
Social justice
Social work communication
Social work ethics
Social work supervision
Social work system interface
Social work with children
Social work with communities
Social work with couples
Social work with families
Social work with individuals
Spirituality
Substance abuse and addiction
Therapeutic relationships
Course Format
Which methods do you use to provide continuing education? Check all that apply.
On-site workshop/presentation Audio/video-based home study College/University undergraduate courses
On-site conference Teleconference College/University graduate courses
Internet-based home study In-service training/staff development Other (please specify below)
Text-based home study College/University CE programs
Course Location    
Indicate where you provide on-site (face-to-face) or distance learning (home study, internet, text, audio or video) CE courses:
Alabama
New Brunswick
Alaska
New Hampshire
Alberta
New Jersey
Arizona
New Mexico
Arkansas
New York
British Columbia
Newfoundland & Labrador
California
North Carolina
Colorado
North Dakota
Connecticut
Nova Scotia
Delaware
Ohio
District of Columbia
Oklahoma
Florida
Ontario
Georgia
Oregon
Hawaii
Pennsylvania
Idaho
Prince Edward Island
Illinois
Puerto Rico
Indiana
Quebec
Iowa
Rhode Island
Kansas
Saskatchewan
Kentucky
South Carolina
Louisiana
South Dakota
Maine
Tennessee
Manitoba
Texas
Maryland
Utah
Massachusetts
Vermont
Michigan
Virginia
Minnesota
Virgin Islands
Mississippi
Washington
Missouri
West Virginia
Montana
Wisconsin
Nebraska
Wyoming
Nevada
    
       
Provider Description
Please write a brief description of your organization as it relates to social work continuing education. This description will be included with your contact listing on the ASWB web site. Descriptions must fit into the box below.
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