703-352-SSWR(7797)
 

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: $175, ONE YEAR, January 1-December 31
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, January 1-December 31
Associate Member
(Open to individuals that are not otherwise eligible for Full or Student membership)
  USA and International Members: $175, ONE YEAR, January 1-December 31
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, January 1-December 31
Journal of the Society for Social Work and Research (JSSWR) Subscription
As part of your SSWR membership, you will receive a free electronic subscription to the Journal of the Society for Social Work and Research (JSSWR) available on the website, www.sswr.org. If you would also like to receive a print edition of the journal, an additional $20 USD will be added to your membership dues. Please indicate your preference below:
  Yes, I want a print version and acknowledge an additional $20 USD will be added to my membership dues.
For Student Members Indicate Level of Study/Degree Program:
Expected Date of Completion
Membership Information:
First Name:
Middle Name:
Last Name:
Suffix:
Degree Information

Highest Degree:



*If "Other", please Specify:

Date of Degree:
Granting Institution:
Current Employment Information
Career Level
(Select one):
Employer/
Institution/
Organization:
Division/
Department:
Position/Title:
Mailing and Contact Information
Street Address:
City:
State /
Province:
Zip Code:
Country:
Telephone:
Fax:
Email:
By submitting this form you are giving SSWR permission to contact this person about membership status. Email addresses will not be sold to or shared with other organizations, nor will they be included in any publications by SSWR.
May we post your contact information in the SSWR website membership directory?
Phone, fax and email address will not be posted.		 yes no
May we distribute your contact information to be used by non-SSWR parties? yes no
Would you like to receive emailed announcements of future SSWR conferences and activities? yes no
Type of Organization Affiliation (check one)

College or university
For-profit organization
Government agency/organization
Private Practice/Consultant
Non-profit research center not affiliated with a university
Other (please specify)
Not applicable
Occupational Type (check all that apply)
Academic Faculty
Researcher
Practitioner
 
Policy Maker
Administrator
Not applicable
Ethnicity #1 — Please indicate your ethnicity(ies) (Select all that apply)

Black, African American, African Caribbean (non-Hispanic)
Latino, Hispanic, Spanish
White/Caucasian, European (non-Hispanic)
American Indian, Alaska Native, Native Hawaiian, Indigenous
Asian
Pacific Islander
Mixed/Biracial/Multiracial
Prefer not to specify
Other (please specify)
Ethnicity #2
If you wish, please specify how you prefer to be self-identified: (i.e., please specify how your preferred ethnicity/ies)
Disabled (optional)
No    Yes    Prefer not to specify
What is your gender identity? (Please check all that apply):
 Agender
 Cisgender (i.e., Not Transgender)
 Gender Expansive
 GenderFluid
 GenderQueer
 Man		  Non-Binary/Non-Conforming
 Trans Man/Trans Masculine
 Transgender
 Trans Woman/Trans Feminine
 Two-Spirit		  Woman
 My gender identity is not represented in this list. My gender identity is:  
 Prefer not to say
What is your sexual orientation/sexual identity? (Please check all that apply)
 Asexual
 Bisexual
 Demisexual
 Gay
 Heterosexual/Straight
 Lesbian
 Pansexual
 Queer		  Questioning/Not Sure
 Two-Spirit
 My sexual orientation/sexual identity is not represented in this list. My sexual orientation/sexual identity is:  
 Prefer not to say		 Is there anything else you’d like us to know regarding your sexual orientation/sexual identity, gender identity, and/or gender expression which the previous questions did not allow for?
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)
 
Not applicable
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
Local Government Agency
Foundation
Other Private Source
 
Own Agency
Other
Not applicable
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)
Not applicable
Contributions (Optional):
Check below if you wish to make a donation to support SSWR’s mission to advocate for social work research and funding for social work research.
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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Last:
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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.org • www.sswr.org