NYSSSWA Membership Includes~

~The Networker; our periodic newsletter of information from around the state.

~Statewide conferences at a reduced fee.

~Local and regional meetings/workshops for networking and best practices.

~State Board comprised of regional representatives who focus on issues critical to members including: proposed legislation at state and federal level, licensing & liaison at State Education Department

Full Membership: LMSW/LCSW and School Social Work certification, employed by a school district, BOCES, special education settings.

Associate Membership: Non-Voting—but informed—BSW or Bachelors/Masters Degree in related profession, interested others.

Student / Retirees: Interning at a school setting and former school employees.

NEW MEMBER ( ) RENEWING MEMBER ( )

NEW YORK STATE SCHOOL SOCIAL WORKERS ASSOCIATION

MEMBERSHIP APPLICATION------please make checks payable to NYSSSWA

MAIL TO: Joann Campbell, 29 Kurts Kourt, Whitesboro, NY 13492

Full Membership $75 ( )

Associate Membership $65 ( )

Student / Retiree $45 ( )

***Please fill in all spaces in order to help us with demographics and to be able to reach you. ***

NAME_________________________________

HOME ADDRESS_______________________________________________________
_______________________________________________________________________ ________________________________________________________________________

Preferred Telephone #_________________________

BOCES associated with your district _______________________________

Preferred E-MAIL_______________________________________________________

I am interested in being contacted by my regional representative for: local meetings and/or board participation. Yes ( ) No ( )

Please Help Identify a Convenient Networking Region for Yourself. Check One.

New York City( )

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North Central {Oswego}( )

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