Membership Form - PDF

If you prefer to download and fill out the membership form by hand instead of using the online version below, we have provided this PDF version:

 New Membership Form (2018) 

(note: this form is to be used for NEW memberships only. For membership renewals, please visit this link.)

ASWNC Membership Application

Your Name(*)
Please let us know your name.

(The name, as entered, will appear on your Certificate)

Your Email(*)
Please let us know your email address.

Telephone Number(*)
enter ph # in the format (123-456-7890)

Employer
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Street Address(*)
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City / Town(*)
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Territory(*)
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Postal Code(*)
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Membership Types

FULL MEMBERSHIP ($175.00)

Requirements:
  • Provide a copy of your Diploma / Degree
  • Year of Graduation
  • College or University Attended
  • Membership Fee

STUDENT MEMBERSHIP ($50.00)

Requirements:
  • Provide your Social Work Program
  • Expected Year of Graduation
  • College or University Attended
  • Membership Fee

ASSOCIATE MEMBERSHIP ($175.00)

Intended for those who do not have a social work degree or diploma but are working as a social worker

Requirements:
  • Provide a copy of your Diploma / Degree (if applicable)
  • Provide a List of Work Experience
  • Membership Fee

RETIRED MEMBER ($50.00)

Requirements:
  • Provide a copy of your Diploma / Degree (if applicable)
  • Membership Fee

CORPORATE MEMBER /FRIEND OF THE ASSOCIATION (an individual, organization or business which supports the objectives of the Association of Social Workers) Fee: $ as negotiated

Membership Type(*)
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Diploma/Degree
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(name of credential attained)

Year Graduated
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College or University
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Secondary Degree or Diploma (If Applicable)
Diploma/Degree
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(name of credential attained)

Year Graduated
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College or University
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Upload digital copy of degree / diploma
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Please upload a clear scan or image of your degree or diploma if applicable to your application. Allowed file types are: pdf, png, jpg, doc, docx

Secondary upload liink for degree or diploma
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(if needed for additional documents). Allowed file types are: pdf, png, jpg, doc, docx

Previous Memberships

Have you been / are you now a member of a Provincial/Territorial Association of Social Workers?(*)
Please choose "yes or "no"

If the answer to the previous question was "Yes", what was the Provincial/Territorial Association you were previously a member of?
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Have you been / are you a Registered, Certified, or Licensed Social Worker or other professional in any jurisdiction?(*)
Please choose "yes or "no"

If the answer to the previous question was "Yes", what was the name of the Jurisdiction?
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Has a social work association or other professional regulatory body ever disciplined you?
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(Please note, a positive response to this question does not automatically disqualify an applicant from membership)

Please describe the details of the discplinary action, if applicable.
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By checking the box below and clicking "submit" you acknowledge that the information you have provided is complete and correct and agree to adhere to the Social Work Code of Ethics as published by the Canadian Association of Social Workers, 2005.

You will receive a confirmation email with instructions as to how to remit payment.

Please check to indicate acceptance of the terms(*)
Please check to indicate acceptance of the terms