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Membership Form

Confidential Application and Membership Update Information Form

Membership dues are $30 per year ($5 for students/retired) Once you fill out and submit your application you will be automatically redirected to a payment page.

Please provide the information below to complete your membership application or update. Please check boxes where indicated to give SWHSW permission to print the information in our directory.

Once you become a member, you will be given registration to the private member's section of the website. There, you will be able to edit your own profile and what information other members can view through the member list. You will be able to communicate privately with other members who choose make email available through their profile.


Yes, include my name on a list that will be printed and circulated to members.


Include address in the printed directory


Include email in the printed directory


Include home phone in the printed directory


Include work phone in the printed directory


Include fax number in the printed directory

May we call you to help another social worker in your area?

May we email you to help another social worker in your area?

Can you speak freely at home?

Can you speak freely at work?

NEED A TERMS OF AGREEMENT STATEMENT FOR HERE.

Please enter the word you see in the image below:


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