Social Work Licensure Exam Preparation Course Evansville, Indiana NASW Continuing Education Hours: 16.0 (including 3.0 Ethics) FRIDAY, FEBRUARY 18, 2011 and SATURDAY, FEBRUARY 19, 2011 Time: 8:00 a.m - 5:00 p.m (Registration at 7:30 a.m.) CST (Snacks and refreshments served both days Lunch served on Saturday only Lunch on your own on Friday.) Location: University of Southern Indiana, 8600 University Blvd., Evansville, IN 47712 (Map) CENTRAL STANDARD TIME (CST) – Evansville Time This is the course for the most effective preparation for successful test score results! 16 hours of intense classroom instruction designed for the Clinical, Advanced & Masters levels of Social Work Licensure * * * * Targets requirements by ASWB** * Models & Methods of Social Work Practice Overview of Test Construction * Human Growth and Development Issues Standardized Test-Taking Strategy * Minority Issues/Research & Supervision Social Work Values & Ethics * Comprehensive workbook with sample test questions * Assessment, Diagnosis, Social Work Intervention Strategy Dr Sophia Dziegielewski, LISW, Professor in the School of Social Work at the University of Cincinnati, Ohio, designed and implemented this highly acclaimed course and has successfully instructed over 15,000 Social Workers across the USA Prepare to pass your exam the first time with the BEST prep-course in the nation! **The Association of Social Work Boards (ASWB) is not affiliated with nor does it sponsor or endorse this (or any) study course materials Registration Fee: NASW Member $195; Non-NASW Member $295 EASY WAYS TO REGISTER: Online: www.naswin.org Fax: 317-925-9364 E-Mail: naswin@naswin.org Phone: 317-923-9878 Mail: NASW - Indiana Chapter, 1100 West 42nd Street, Suite 226, Indianapolis, IN 46208 SPECIAL PRICING FOR NON-NASW MEMBERS AVAILABLE: The course is half price of the non-member fee ($150) when accompanied by a regular NASW membership application completed with full payment New memberships only (does not apply to renewals) New members must affiliate with Indiana Chapter Member Benefits, https://www.socialworkers.org/join.asp Please specify which exam you plan to take: REGISTRATION INFORMATION Licensed Social Worker Licensed Clinical Social Worker Name Address City, State, Zip Phone: (W) Registration Fee: NASW Member - $195 Please specify any ADA needs you have in attending this course: _ (H) FAX: _ E-Mail: NASW Member? Yes The cut-off date to register and for cancellation is February 11, 2011 No There is a $50 processing fee for refunds and $50 late registration fee after the cut-off date NASW I.D # 88 Check: $ (Make checks payable to: OFFICE USE ONLY NASW - Indiana Chapter) Credit Card: Visa MasterCard Discover American Exp Credit Card Number: Exp Date _/ Non-NASW Member - $295 CSC Code# _ Signature _ Return this registration form to: NASW - Indiana Chapter 1100 West 42nd St., #226 Indianapolis, IN 46208 Or register online at www.naswin.org CK# AMT AGENCY DATE REC _ (A map will be e-mailed with confirmation of registration.)