National Association of Social Workers
Please complete this form online, print out, then either fax or mail in.
Applicant Information (Please print.)
Important: Where do you prefer mail to be sent? Home Work
Dr. Mr. Mrs. Ms.
Male Female Date of Birth
Name: First Middle Initial Last
Home Address
City State
Zip Country
Home Phone
Home Fax
E-Mail Address (home)
Employment
Organization
Organization Address
Work Phone
Work Fax
E-Mail Address (work)
Member Sponsor
Did a colleague invite you to join NASW? Yes No
Name/School
Member ID #
City & State
Important: Applicants must complete "Education" information below!
Education (List highest social work degree first.)
Anticipated Degree BSW MSW DSW PhD
Date entered program (Mo/Yr)
Graduation (Mo/Yr)
College or University/Division
Currently Held Degree BSW MSW DSW PhD
Request for Special Chapter Affiliation (Please read carefully.)
Your chapter receives 50 percent of your dues. There are NASW chapters in all 50 states, plus New York City, Metro Washington, DC, Puerto Rico, the Virgin Islands, Guam, and International.
You will be assigned a chapter based on your preferred mailing address. However, you may request a different affiliation based on special circumstances. Please check the appropriate box below. (Note: You may only belong to one chapter.)
I wish to be a member of the Choose one Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana International Iowa Kansas Kentucky Louisiana Maine Maryland Massachussetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York New York City North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington Washington, DC West Virginia Wisconsin Wyoming chapter. Prior Chapter Affiliation Student: home state current residence school location. Special Identifiable Interest
Foreign Degree
NASW invites social workers who reside in the United States but who hold a degree from a university outside the U.S. to become eligible for membership through a degree equivalency process. Call the Membership Information Center at 1-800-742-4089 or 202-408-8600 for information.
To reinstate your NASW membership and/or ACSW certification by phone, call 1-800-742-4089. To reinstate by mail, complete the information below. Be sure to include the ACSW fee with your dues payment, if appropriate.
Prior Name (if different from current):
ACSW Reinstatement (Include ACSW fee in total due): $30
Membership Categories and Dues (Check appropriate category.)
Eligibility for the BSW and/or MSW Student membership category is limited to four (4) years for each degree over the lifetime of membership, not necessarily to be continuous.
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.
Eligibility for the Doctoral Student membership category is limited to four (4) years over the lifetime of membership, not necessarily to be continuous.
Are you practicing social work? Yes No
Are you in private practice? Yes No
In what type of organization are you employed? For profit Nonprofit
Customize the Power of Your NASW Membership Join a Specialty Practice Section today!
NASW Specialty Practice Sections are powerful member-driven communities within NASW that link you to the key information, resources, and expertise you need to stay at the forefront of your practice specialty. Specialty Practice Sections connect you with colleagues who share your perspectives and understand your challenges. For more information, visit the NASW Specialty Practice Sections Web page or call 202-408-8600 ext. 499.
Join a Specialty Practice Section today at $35 each!
Aging Alcohol, Tobacco, and Other Drugs (ATOD) Child Welfare NEW! Health NEW! Mental Health NEW! Poverty and Social Justice NEW! Private Practice School Social Work
Check or Money Order payable to NASW in the "Total Due" amount indicated above.
Charge Card: I hereby authorize NASW to charge my credit card in the amount of $
NASW Visa* Visa MasterCard American Express
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 this card helps to support the social work profession. Call 1-800-421-2110 for more information.
Refunds: All refunds must be requested in writing within 30 days of receipt of this application. A $10 processing fee will be assessed..
Applying for Insurance
Check here if you plan to apply separately for NASW malpractice insurance through the American Professional Agency (1-800-421-6694). Please read the following carefully.
Insurance coverage must be obtained and purchased separately. To obtain an application for professional liability, group term life, long-term disability, hospital daily cash benefit, or accidental death & dismemberment, call the NASW Insurance Trust at 1-800-638-8799, ext. 387 or 202-336-8387 (DC).
Be sure to retain copies of both your completed membership application and dues payment. You may be asked to provide both documents if you wish to apply for or renew your insurance through the NASW Insurance Trust.
NASW Code of Ethics Summary and Affirmation Your signature below is required.
By joining NASW you agree to abide the NASW Code of Ethics and the NASW Procedures for Professional Review.
The Code identifies core values on which social work’s mission is based, summarizes ethical principles that reflect the profession’s core values, establishes a set of specific ethical standards that guide social work practice, and provides the basis on which the public can hold a practitioner accountable.
Summary of Principles
Ethical standards are articulated under social workers’ ethical responsibilities to clients, to colleagues, in practice settings, as professionals, to the social work profession, and to broader society.
As a new NASW member, you will receive a full Code of Ethics. Additional copies are available upon request. The Code is available online in its entirety on this site: Code of Ethics.
Affirmation of the NASW Code of Ethics
Your signature below attests that all information provided on this application is true and accurate. It also pledges you to uphold the Code and notifies you that you can be held accountable under the NASW Procedures for Professional Review for any violation of the Code.
I hereby affirm and agree that I will abide by the Code of Ethics of the National Association of Social Workers and agree to submit to professional review proceedings for any alleged violation of the same in accordance with NASW bylaws. I further understand that falsification of the contents of this application will be grounds for rejection and/or termination of my association membership and revocation of any and all benefits resulting therefrom.
Signature ______________________________________________ Date
The applicant agrees to abide by the NASW Code of Ethics and other Association policies with or without a signature on this application.
Notice to Members
Important information concerning dues deductibility for income tax purposes. Payments, contributions, or gifts to the National Association of Social Workers, Inc. General Fund are not tax deductible as charitable contributions for income tax purposes. However, they may be tax deductible as ordinary and necessary business expenses subject to restrictions imposed as a result of association lobbying activities. The National Association of Social Workers, Inc., estimates that the nondeductible portion of your dues, the portion which is allocable to lobbying for calendar year 2001, is 10.32%. NASW estimates the nondeductible portion for calendar year 2002 to be 13.78%. Membership dues include annual subscription fees of $20.00 for Social Work, $14.98 for NASW News, $2.00 for NASW newsletters in the following states and divisions: CA, GA, NY, NYCity, OK, OR, and TX; $1.00 for NASW newsletter in TN.
For office use only
F00A
Mail application to NASW, PO Box 98272, Washington, DC 20077-7343.
Fax application to 202-336-8331.