WV BOARD OF SOCIAL WORK EXAMINERS
SOCIAL WORK CONTINUING EDUCATION RECORDING FORM
PLEASE COMPLETE ALL AREAS OF THIS FORM & SIGN BELOW BEFORE SUBMITTING.
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PLEASE INDICATED IF THIS IS A NEW ADDRESS
WV SOCIAL WORK LICENSE NUMBER:___ LICENSE EXPIRATION DATE: SOCIAL SECURITY NUMBER:
Fill & Sign Online, Print, Email, Fax, or Download
"Board" means the West Virginia Board of Social Work. 2.2. ... the practice of
social work during which he or she is exempt from continuing education
provisions. .... submit a provisional license agreement contract on a form
provided by the board. ... An employer is responsible for reporting the resignation
or termination of any ...
Continuing Education Provider Certification Application ... 696.182(2)(a) through
(g) must submit this form to petition the Board for approval as an applicant for
certification. ... This checklist is intended to be a guide; this is not a required