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Collaborative - Grand Rounds Short Form

The Collaborative of NASW and the Boston College and Simmons College Schools of Social Work

Grand Rounds Short Form Instructions:

  • When submitting a Grand Rounds series for CE authorization, the Collaborative MUST have the below information for each session within the Grand Rounds. You may list up to ten (10) Grand Rounds Sessions using this form (submit this form multiple times for Grand Rounds with more than ten sessions). There is no cost to submit this form.
  • * = Indicates a required field


 

A. Submitter Information

The submitter listed below will be contacted by the Collaborative if there are any questions about the form.


 

B. Grand Rounds Information


 

C. Grand Rounds Session Information




SESSION 1

Select the exact number of instructional hours in Session 1.
List three (3) learning objectives specific to social work for Session 1.
List Session 1 instructor name with license and degrees, along with their current position.



SESSION 2

Select the exact number of instructional hours in Session 2.
List three (3) learning objectives specific to social work for Session 2.
List Session 2 instructor name with license and degrees, along with their current position.



SESSION 3

Select the exact number of instructional hours in Session 3.
List three (3) learning objectives specific to social work for Session 3.
List Session 3 instructor name with license and degrees, along with their current position.



SESSION 4

Select the exact number of instructional hours in Session 4.
List three (3) learning objectives specific to social work for Session 4.
List Session 4 instructor name with license and degrees, along with their current position.



SESSION 5

Select the exact number of instructional hours in Session 5.
List three (3) learning objectives specific to social work for Session 4.
List Session 5 instructor name with license and degrees, along with their current position.



SESSION 6

Select the exact number of instructional hours in Session 6.
List three (3) learning objectives specific to social work for Session 6.
List Session 6 instructor name with license and degrees, along with their current position.



SESSION 7

Select the exact number of instructional hours in Session 7.
List three (3) learning objectives specific to social work for Session 7.
List Session 7 instructor name with license and degrees, along with their current position.



SESSION 8

Select the exact number of instructional hours in Session 8.
List three (3) learning objectives specific to social work for Session 8.
List Session 8 instructor name with license and degrees, along with their current position.



SESSION 9

Select the exact number of instructional hours in Session 9.
List three (3) learning objectives specific to social work for Session 9.
List Session 9 instructor name with license and degrees, along with their current position.



SESSION 10

Select the exact number of instructional hours in Session 10.
List three (3) learning objectives specific to social work for Session 10.
List Session 10 instructor name with license and degrees, along with their current position.

National Association of Social Workers - Massachusetts Chapter
14 Beacon Street, Suite 409, Boston MA 02108
tel: (617)227-9635 fax: (617)227-9877 email: chapter@naswma.org
Copyright 2001, NASWMA. All rights reserved.

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