Hello,

In order for CHI Professional Development to award you a Certificate of Completion, I am required to obtain certain information. 


The information requested is dependent on what course you are taking. 


For Social Workers and Licensed Mental Health counselors participants enrolling a course for CEU's.


Register with your name as it appears EXACTLY as it appears on your professional license. 


Field Indicating - DASA ONLY-Last 5 of SS # - FOLLOW FORMAT ##### 

  Enter - N/A 


Field Indicating - Date of Birth in the following format: MMDDYYYY  

  Enter - N/A


Field Indicating -  Address as it appears on the TEACH System 

  Enter - N/A


Field Indicating - License type and License #

  Enter your Professional License type and License #


For participants enrolling in the Dignity for All Students Act course.


NYS requires that I collect the following information in order to send your completion to the TEACH website.


Register with your name as it appears EXACTLY as it appears on your NYS TEACH ACCOUNT.


Field Indicating - DASA ONLY-Last 5 of SS # - FOLLOW FORMAT ##### 

  Please Provide this Information

Field Indicating - Date of Birth in the following format: MMDDYYYY -

  Please Provide this Information

Field Indicating -  Address as it appears on the TEACH System.

  Please Provide this Information

Field Indicating - License type and License #

  Enter N/A


Entering this information during registration precisely as it appears on the TEACH website will expedite the reporting process.


Thank you.


If you have any questions, please do not hesitate to contact me.


Michael Chiappone

michael@chiprodevelopment.com