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New Member Application

Social Work 2008 

"DIGNITY AND JUSTICE 
FOR ALL OF US" 
Advocating for Human Rights 
in a Culture of Diversity

View BCASW's 
Social Work  2008 posters 
Order Social Work 2008 Posters  

The BCASW Fall Conference

REIMAGINING SOCIAL WORK
POLITICS • PASSION • PEOPLE
November 7 – 8,  2008 in Vancouver

with keynote presenters
Mary Ellen Turpel-Lafond
Bob Mullaly

Further program details will be announced soon   

New Member Application
 

Applications must be completed in full before submitting. 
The system does not allow you to fill in a partial application and return later to complete it. If you have difficulty completing your application, please contact BCASW. 

Salutation:
*Last Name:

*Address:

Home Address

*City:

*Postal Code:

*Home Phone:

Fax:

*Home E-Mail:

Personal/Contact Information
Address BCASW correspondence to my Home

or office

address (check one)

Workplace:

Job Title:

City:

Postal Code:

Fax:

Work E-Mail:

Telephone:

Address:

Social Work Education

Degree(s) in Social Work

Schools(s) & Year(s) Graduated?

Copy of transcripts/degrees may be requested

Are you a Registered Social Worker (RSW) in BC?
Do you have a private practice?
Yes
Yes
Student Applicant Only

Degree program enrolled in:

BSW
MSW
DSW

School:

Year of Study:

Expected date of graduation:

Languages (Other than English)

Written:

Spoken:

Regulatory Status

Have you in the past been a Registered, Certified, or Licensed Social Worker or other professional in any jurisdiction? Please List:

If so, and if no longer in good standing, please explain

I hereby give permission for BCASW to contact current and previous regulatory jurisdiction for information regarding my regulatory status:

Yes

Please complete the following if you are employed

Federal government
Provincial government
Municipal government
Self employed/private practice

For what type of organization do you work?

Not for profit organization
Private for profit organization
Other (please specify)

What is your main area of practice?

Check more than one if applicable

*First Name:
Community development
Child welfare
Services to Aged
Community living
Justice/Corrections
Social Work Education
EAP
Health/medical
Family services
Multicultural Services
Alcohol/Substance Abuse
Occupational/Industrial
Other (please specify)
Community development/outreach
Management/ Adminstration /Supervision
Planning and policy development
Teaching and research
Direct Practice
Other (please specify)

What is your primary activity in your job?

Part Time (20 hours or less)
Full Time

*Membership Payment Options

*Membership Category

* Please note that your annual membership fee is non-refundable.

DECLARATION - BCASW Code of Ethics and BRSW Standards of Practice

I hereby agree to abide by the BCASW Code of Ethics
and the Standards of Practice of the Board of Registration for Social Workers of BC.

Cell:

 Country:

Extn:

Login Information - please select the username and password you would like to use to login to the members area.
*Username:

*Password:

PhD
Aboriginal Services
Health Authority
Educational Institution
income?
or secondary
If so, is this your primary
I will pay in full by cheque or money order, mailed to BCASW, #402 - 1755 West Broadway, Vancouver BC , V6J 4S5. I understand that my membership will not be processed until payment is received.
I will pay in monthly  or quarterly installments through direct debit of my bank account. Click here to download the authorization form, and fax a completed form with a copy of a cheque marked "void" to 604 730 9112, or mail completed form with a cheque marked "void" to BCASW at address above. Note: you can opt to have an automatically renewing membership with direct debiting of your bank account.

*Province:

Employment Information

Country:

Province:

Child Mental Health
Adult Mental Health
Disability
Other (please specify)
BCASW Branch or Professional Development Event
Newsletter/Brochure
Website
Presentation at School of Social Work
Referred by colleague or BCASW member (name)

How did you learn about BCASW?

I will pay by VISA or Mastercard. You will be asked to enter your credit card info on the following page.
New Graduate - Part Time
Recent Graduate - Full Time
Thirty Year Retired
 Associate
New Graduate - Full Time
Student
Membership Category
Full Time
Part Time
Not Employed
Retired
Annual
Quarterly
Monthly
$288.00
$72.00
$24.00
$150.00
$37.50
N / A
$114.00
$28.50
N / A
$114.00
$28.50
N / A
$66.00
$16.50
N / A
$168.00
$42.00
N / A
$90.00
$22.50
N / A
$228.00
$57.00
N / A
$120.00
$30.00
N / A
$ 66.00
$16.50
N / A
Recent Graduate - Part Time
$114.00
$28.50
N / A
Associate - you do not hold a Social Work degree but work in a related field. This category is an affiliation rather than a membership.
Thirty Year Retired - continuous member of BCASW for 30 years and now retired
Recent Graduate (2nd Year) - for those who paid the New Graduate rate the prior year
New Graduate - first year Social Work graduates who were Student Members of BCASW this past year
Student - enrolled in a Social Work degree program
Part Time - your total employment hours are less than 20 hour per week
Full Time - your total employment hours equal 20 hour per week or more

*Method of Payment

Member Number:
Send my annual membership renewal notice by:  mail                     email
Gender
Male
Female
Retired
Not Employed

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