Member Registration

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Membership Type *

Full membership is open to any professional social worker interested in school social work. Students interested in the practice of school social work are encouraged to join as student members. Associate membership is open to others who support the work of the Association.

First Name *

Last Name *

Position *

Demographic Served *

K-5 (Elementary)
K-8
Middle School (5-8 or 6-8)
High School

Practice Area *

General Education
Special Education
District Office (Macro or Leadership)
SSW Intern or Social Work Student
Other

School District(s) *

School Zip Code(s) *

School Type *

Public School
Tribal School (Bureau of Indian Education)
Charter School

Preferred Mailing Street Address *

City *

State *

Zip Code *

Preferred Email *

Email

Confirm Email

Alternate Email

Work Phone *

Personal Phone

Would you like to have your contact info included on our Membership Directory? *

Yes
No

Paying with check or through purchase order? Fill out the below area with a check number or purchase order number! *LEAVE BLANK TO PAY THROUGH PAYPAL*

Total

$0.00

Email

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