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Home Address

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Personal/Contact Information
Address BCASW correspondence to my Home

or office

address (check one)

Workplace:

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Fax:

Work E-Mail:

Telephone:

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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)

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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
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Self employed/private practice

For what type of organization do you work?

Not for profit organization
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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

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* 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.

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PhD
Aboriginal Services
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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.

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Employment Information

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Child Mental Health
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Disability
Other (please specify)
BCASW Branch or Professional Development Event
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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

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