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:

Personal Information
First Name:
Middle Name:
Last Name:
Email Address:	your email will be your login username
Password:
Home Address:
City:
State:	AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOergonOhioOklahomaPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming Zip:
Home Phone:
Cell Phone:
Employment
District/Agency/University:
Job Title:
Address:
City:
State:	AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOergonOhioOklahomaPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming Zip:
Work Phone:
Work Email:
Education (Select highest held degree)
Hightest Degree:	BSW BA BS MSW MS DSW PhD Other (Specify Below)
Other Degree:
Graduation Year:
College or University:
City:
State:	AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOergonOhioOklahomaPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming
Demographics
Ethnic/Racial Origin:	African American/Black Asian American or Pacific Islander Latino Hispanic Native American White/Caucasian Multi-Ethnic Other (Specify Below)
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

Sign up for Info

Calendar

Monthly Services:

An Evening of EFT, QBT, and Intuitive Readings. First and Third Wednesday of the month. Join Julie and Katz Delauney-Leija, MSW, for a fun and educational evening. Learn EFT & QBT to increase your energy, handle stress, increase prosperity, and much more. An intuitive reading for the group will be given, then individual questions will be answered to help provide insight and solutions tailored to each person. Irmo, SC area. 7-9 p.m. $20 per person. For more information, call or email Julie.

Contact Info

(803) 800-9211

Email