home - www.carolinareikiinstitute.com

SSWAA MEMBERSHIP REGISTRATION

If you would like to Download and Print this form to mail with a check, Please mail and make check payable to SSWAA at:

Membership
School Social Work Association of America
P.O. Box 11391
Columbia, SC 29211-1391

Personal Information

First Name:

Middle Name:

Last Name:

Email Address:

your email will be your login username

Password:

Home Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Employment

District/Agency/University:

Job Title:

Address:

City:

State:

Zip:

Work Phone:

Work Email:

Education (Select highest held degree)

Hightest Degree:

Other Degree:

Graduation Year:

College or University:

City:

State:

Demographics

Ethnic/Racial Origin:

Other:

Additional Affiliations

AFT	NEA
State SSW Association	NASW

Social Work Practice Areas

Primary Practice Level & Area (check as appropriate)

Elementary	Middle/Jr. High
High School	University
Pre-school/Early Start	Alternative
Day Treatment	Rural
Urban	Suburban

Involvement Opportunities

Please check if you would consider assisting the Association in any activities below

Board Committees

Support to States	Legislative
Publicity & Promotion	Policy
Standards & Practice	Membership
Finance

Other

Conference Planning Activities	Summer Leadership Summit
Editorial Board

Membership Categories & Dues

If you have questions, Please email us at contact@sswaa.org or call Toll Free at 1-888-446-5291

NEW MEMBER BENEFIT: SSWAA members may subscribe to the School Social Work Journal, Published by the Illinois School Social Work Association, at a reduced subscription rate of $20, a $10 Savings. www.iassw.org/journal.htm

Jin Shin Jyutsu Self Help Thursdays

Certified Reiki Practitioner Program

Full Calendar - archive