Preferred Mailing Address: . Home . Work
. Dr. . Mr. . Mrs. . Ms.
. Male . Female       Date of Birth __________________________
Name__________________________________________________
            FIRST          M.I.           LAST
Home Address __________________________________________
City___________________________ State_____ Zip ___________
Country________________________________________________
Home Phone (  ) _____________ Home Fax (  ) _______________
E-Mail Address (home) ___________________________________

 

PAYMENT INFORMATION *Important! Applicants must sign the “Affirmation of the NASW Code of Ethics” on the front before this application can be processed. Thank you. Amount Enclosed Membership Dues ACSW Fee Section Fee (if checked) Total Due $____________ $____________ $____________ $____________   . Check or money order payable to NASW in the “Total Due” amount indicated. . Charge Card: I authorize NASW to charge my credit card in the amount of $ _______ . NASW Visa*   . Visa . NASW MasterCard* . MasterCard . AMEX Name on card _____________________________________________ Card # ________________________________________________ Exp. Date _____________________________________________ Signature _____________________________________________ Note: Check, money order, or charge card information must accompany this form. Please allow 3-5 weeks for the processing of this application. *Use of these cards helps to support the social work profession. Call 1-800-421-2110 for more information.

MEMBERSHIP CATEGORIES AND DUES
(Check appropriate category)

Regular . MSW . DSW . PhD                                $178/year
Open to anyone who has received a graduate degree in social work from a CSWE accredited or recognized social work degree program.

. Regular—BSW                                                     $117/year
Open to anyone who has received an undergraduate degree in social work from a CSWE accredited or recognized social work degree program.

. Student . BSW . MSW                                         $45/year
Open to anyone currently matriculating in a CSWE accredited social work degree program, or a program eligible for candidacy. A copy of your current student identification card must be attached to this application.

BSW student members who maintain continuous membership after graduation automatically enter a 2-year transitional period with reduced dues of $83 each year; MSW students enter a 3-year transitional period with reduced dues of $83 in years 1 and 2, and $125 in year 3.

.Doctoral Student                                                      $134/year
Open to degree candidates in social work doctoral programs. A copy of your current student identification card must be attached to this application.

. Associate Membership                                           $142/year
Open to anyone currently employed in a social work capacity (not self-employed or group private practice) who holds a baccalaureate or higher degree from an accredited U.S. college or university, but is not otherwise eligible for regular membership. Associate members may not hold national elective office. Associate members may not vote in national elections until they have maintained five (5) years of continuous membership, at which time they shall be granted the right to vote.

1) Are you practicing social work?      . Yes . No
2) Are you in private practice?           . Yes . No
3) In what type of organization are you employed ?

Note: A reduced income category of membership at an annual dues rate of $51/year is also available to individuals who are eligible for regular membership but unable to pay full dues as a result of extraordinary hardship. To apply, attach a written statement to this application and payment, giving the reason for the request. If approved, the category will automatically change to Regular at the full dues rate upon renewal. Check here ..

FORMER NASW MEMBERS

To reinstate your NASW membership and/or ACSW certification by phone, call 1-800-742-4089. To renew by mail, use this application and, if appropriate, add the $30 ACSW fee to the Total Due in the payment area to the left.

JOIN NASW’S MEMBER SECTIONS

Get connected to colleagues in your specific interest area and enjoy special benefits and opportunities. For more information, go to www.socialworkers.org or call 1-800-638-8799, x268. To join, mark section(s) below and add Section Fee to Total Due at left.

Section                                                                  Fee
. Aging                                                                $35 per year
. Alcohol, Tobacco, & Other Drugs (ATOD)         $35 per year
. Private Practice                                                 $35 per year
. Child Welfare                                                    $35 per year
. Health                                                               $35 per year
. Mental Health                                                   $35 per year
. Poverty and Social Justice                                $35 per year
. School Social Work                                           $35 per year

Join NASW online at:               http://www.socialworkers.org

Mail application to:                  NASW
                                                 P.O. Box 98272
                                                 Washington, DC 20077-7343

Fax application to:                    (202) 336-8331