NASW Media Referral Database Application Form

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NASW Media Referral Database Application Form

NASW maintains a spokesperson database of member social workers with a wide range of expertise who are available to speak with journalists on local or national issues.

Please fill out the following form to be considered for the NASW Media Expert Database. If you have questions, please contact Amber Mooore at 202-336-8277.

First Name:

Last Name:

Position and Affiliation:

Home Phone:

Work Phone:

Fax:

Email:

MSW Received:

NASW Member Since:

Other Degrees Received/Date:

Member Number:

Please check the appropriate area(s) in which you feel you have expertise:

	AIDS Counseling		Immigrant and Refugee Support
	Adolescent Pregnancy and Parenting		International Social Work
	Aging		Juvenile Justice
	ATOD		Lesbian, Gay and Bisexual Issues
	Child Abuse and Neglect		Linguistic and Cultural Diversity
	Chronic Illness		Long Term Care
	Civil Liberties and Justice		Managed Care
	Community Development		Marital and Relationship Issues
	Correctional Social Work		Mental Health
	Depression		Military and Veterans Services
	Developmental Disabilities		Nursing Homes
	Disaster Relief		Occupational Social Work
	Eating Disorders		Parenting
	Early Childhood Development		Private Practice
	Economic Policy		Rural Social Work
	Electoral Politics		School Dropout Prevention
	Environmental Policy		School Social Work
	Employment Assistance Programs		Social Justice and Peace
	Family Planning and Reproductive Choice		Social Services
	Family Violence		Suicide
	Foster Care and Adoption		Transgender and Gender Identity
	Genetics		Violence
	Health Care		Welfare Reform
	Health Care Policy		Women�s Issues
	Homelessness		Workplace Diversity and Discrimination
	Hospice Care		Youth Development
	Hospital Social Work		Other:
	Housing

Recent publications including scholarly and popular works:

NASW Section Membership (if any):

NASW Governance Positions: (past or future)

Have you appeared on radio?

	Yes
	Local	National
Type of program:

Have you been interviewed on television?

	Yes
	Local	National
Type of program:

Would you be interested in receiving media training?

Yes

Check the type of training you would be interested in receiving:

Becoming a better spokesperson

Understanding how the media works

Interview tips

Reaching out to the media

Recognizing what’s newsworthy

If you are involved in a controversial issue, either in research or practice, please indicate the issue and your position on it. We hope to refer media to experts on a broad and diverse range of controversial topics.

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