SSWR Secure Online Membership Application
and Renewal Form




Have you reviewed the New Member payment options?
If you want to pay by check or money order, then CLICK HERE to download a printable .PDF version of the application form. Print it, fill it out and mail it to the address at the bottom of this page. You need Adobe's free Acrobat Reader program to open this PDF file.

Membership Status (check one):
Renewing Member (Please complete this form in full to assist us in updating our records)
New Member
Membership Type (check one):
Full Member
(Open to individuals with a bachelor's, master's, or doctoral degree in social work or social welfare; or to social work/social welfare faculty teaching in such degree programs)
  USA and International Members: $150, ONE YEAR, 1/1/2014 - 12/31/2014
Student Member
(Full-time students in bachelor's, master's or doctoral programs in social work or social welfare)
  USA and International Members: $50, ONE YEAR, 1/1/2014 - 12/31/2014
Associate Member
(Open to individuals that are not otherwise eligible for Full or Student membership)
  USA and International Members: $150, ONE YEAR, 1/1/2014 - 12/31/2014
Emeritus Member
(Open to individuals who have been continuous members of the Society for at least five years and are retired from their primary place of employment, and who make a written request to the Society for Emeritus status)
  USA and International Members: $50, ONE YEAR, 1/1/2014 - 12/31/2014
Journal of the Society for Social Work and Research (JSSWR) Subscription As part of your SSWR membership for the 2014 membership year, you will receive a free electronic subscription to the Journal of the Society for Social Work and Research (JSSWR) available on the SSWR website, www.sswr.org.
For Student Members Indicate Level of Study/Degree Program:
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Membership Information:
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Degree Information

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yes no I give SSWR permission to distribute my name and address information to be used by non-SSWR parties.
Type of Organization Affiliation (check one)

College or university
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Non-profit research center not affiliated with a university
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Occupational Type (check all that apply)
Academic Faculty
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Ethnicity (check one - optional)

Black, African American (non-Hispanic)
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Gender (check one):
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(This data is voluntary and used for Federal grant reporting purposes only.)
Current research topics of interest (check all that apply)
Adolescent Delinquency
Adolescent Health and Mental Health
Adolescent Substance Abuse
Adolescent Violence
African Americans
Aging
Alcohol Abuse
Caregiving
Child Welfare
Criminal Justice System
Cultural Competence
Depression
Disability
Domestic Violence
Drug Use/Abuse
Early Childhood/Infancy
End-of-Life/Palliative Care
Ethical Issues
Ethnic Minority Groups
Evidence-Based Practice
Foster Care
Gay, Lesbian, Bisexual, Transgender (GLBT)
Gender Issues
HIV/AIDS
 
Health and Illness (Cancer, Diabetes, et al.)
Homelessness and Housing
Immigrants
International Social Work
Intervention Research
Low-wage Jobs and Vulnerable Workers
Management and Administration
Mental Health Treatment and Services
Organizational Theory and Practice
Parenting and Families
Poverty
Serious Mental Illness
Social Policy
Social Work Education
Social Work Practice
Social Work Research and Scholarship
Spirituality
Theory
Violence in Communities
Welfare Reform
Women's Issues
Work and Family Issues and Policies
Other (check off and type in text box)
 
Current Research Methods/Types (check all that apply)
Qualitative Methods-Grounded Theory
Qualitative Methods-Ethnography
Qualitative Methods-Case Study
Qualitative Methods-Narrative
Qualitative Methods-Phenomenological
Mixed Methods (qualitative-quantitative)
Systematic Review (e.g., meta-analysis)
Pilot Study
Program Evaluation
Longitudinal Design
 
Experimental/RCT
Quasi-Experimental
Descriptive/Correlational
Time Series (includes single-system design)
Survey
Psychometric/Instrumentation study
Ecological Analysis (e.g., GIS/mapping)
Advanced Statistical Analysis (HLM, SEM, etc.)
Other (check off and type in text box)
 
Current Sources of Funding for Research in Which You are Principal or Co-Principal Investigator (please check all that apply and list in the box below, e.g., name of foundation, government, or other funding entity)
Federal Agency
State Agency
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Foundation
 
Other Private Source
Own Agency
Other
   

Are you a member in other Social Work-related organizations?

NASW (National Association of Social Workers)
CSWE (Council on Social Work Education)
NADD (National Association of Deans and Directors)
BPD (Baccalaureate Program Directors)
GADE (Group for the Advancement of Doctoral Education)
Other (please specify)
Contributions (Optional):
Check below if you wish to make a donation to defray the substantial cost to SSWR of securing additional venues for the 2014 Conference.
Contribution Amount (check one):
No, Thanks  $25  $50  $100  $250  $500  $1,000  Other $
Payment Information (All payments must be in US dollars)
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Thank you for completing the form.

Society for Social Work and Research's Tax Identification Number is 13-3768131. SSWR dues are not deductible as a charitable contribution for federal tax purposes, but may be deductible as a business expense.
Remit application and appropriate amount payable to SSWR in U.S. Dollars online or by fax if using credit card payment or by mail to the address below if using check or money order.

Society for Social Work and Research
11240 Waples Mill Road
Suite 200
Fairfax, VA 22030
703-352-SSWR (7797) • Fax 703-359-7562 • info@sswr.orgwww.sswr.org

 
     
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© 2013 • Society for Social Work and Research • 11240 Waples Mill Road, Suite 200• Fairfax, VA 22030
Voice: 703-352-SSWR (7797) • Fax: 703-359-7562 • e-mail: info@sswr.org