Membership Information You have selected the Full Member membership level. (Open to individuals with a bachelor’s, master’s, or doctoral degree in social work or social welfare; or social work/social welfare faculty teaching in such degree programs) The price for membership is $225.00. Membership expires on December 31, 2025. Account Information Username Password Show Password Confirm Password First Name Last Name Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here Donate to SSWR (optional). Fill in the donation amount you wish to make to support SSWR’s mission to advocate for social work research and funding for social work research. Donation Amount $ Name Additions Middle Name Suffix Journal of the Society for Social Work and Research (JSSWR) Subscription As part of your SSWR membership, you will receive a free electronic subscription to the Journal of the Society for Social Work and Research (JSSWR) available on the website, www.sswr.org. If you would also like to receive a print edition of the journal, an additional $27 USD will be added to your membership dues. Please indicate your preference below: — Yes, I want a print version and acknowledge an additional $27 USD will be added to my membership dues. Membership Info Degree Information — Highest Degree -- PhD/DSW MSW/Masters BSW/Bachelors Other If you selected Other, please specify Year of Degree mm/yyyy Granting Institution Career Level (Select one) -Please select one- Student Post Doctoral Fellow First Year Professional Early Career Mid Career Senior Career Current Employment Information — Employer/ Institution/ Organization Division/ Department Position/Title Mailing and Contact Information — Street Address City State/Province Zipcode/Postal Code Country Telephone (Work) Please format your number like (123) 456-7890. If you're international, please enter the appropriate country code. Fax By submitting this form you are giving SSWR permission to contact this person about membership status. Email addresses will not be sold to or shared with other organizations, nor will they be included in any publications by SSWR. — Would you like to receive emailed announcements of future SSWR conferences and activities? Yes No May we post your contact information in the SSWR website membership directory? Yes No May we distribute your contact information to be used by non-SSWR parties? Yes No Student Member Info Level of Study/Degree Program -Please Select One- Bachelors Masters Doctoral Post-Doc Fellow Expected Date of Completion Disabled (optional) Disability (optional) No Yes Prefer not to specify Ethnicity #1 — Please indicate your ethnicity(ies) (Select all that apply) Ethnicity Black, African American, African Caribbean (non-Hispanic) Latino, Hispanic, Spanish White/Caucasian, European (non-Hispanic) American Indian, Alaska Native, Native Hawaiian, Indigenous Asian Pacific Islander Mixed/Biracial/Multiracial Prefer not to specify Other (please specify) Other (please specify) Ethnicity #2 If you wish, please specify how you prefer to be self-identified: (i.e., please specify how your preferred ethnicity/ies) What is your gender identity? (Please check all that apply): Gender Identity Agender Cisgender (i.e., Not Transgender) Gender Expansive Gender Fluid Gender Queer Man Non-Binary/Non-Conforming Trans Man/Trans Masculine Transgender Trans Woman/Trans Feminine Two-Spirit Woman Prefer Not to Specify My gender identity is not represented in this list My gender identity is (specify below) My gender identity is: Pronouns: Pronouns He_him_his She_her_hers They/them/their Other_pronoun If Other, please list here What is your sexual orientation/sexual identity? (Please check all that apply) Sexual Orientation/Sexual Identity Asexual Bisexual Demisexual Gay Heterosexual/Straight Lesbian Pansexual Queer Questioning/Not Sure Two-Spirit Prefer not to say My sexual orientation/sexual identity is not represented in this list. My sexual orientation is (specify below) My sexual orientation is: Is there anything else you’d like us to know regarding your sexual orientation/sexual identity, gender identity, and/or gender expression which the previous questions did not allow for? Type of Organization Affiliation (check one) Please select the type of Organization Affiliation you have College or University For-profit organization Government agency or organization Private Practice/Consultant Non-Profit Research Center Not applicable Other Other Organization Affiliation Occupational Type (check all that apply) Occupational Type Academic Faculty Researcher Practitioner Policy Maker Administrator Not applicable Current research topics of interest (check all that apply) Topics of Interest Adolescent Delinquency Adolescent Health and Mental Health Adolescent Substance Abuse Adolescent Violence African Americans Aging Alcohol Abuse Caregiving Child Welfare Criminal Justice System Cultural Competence Depression Disability Domestic Violence Drug Use/Abuse Early Childhood/Infancy End-of-Life/Palliative Care Ethical Issues Ethnic Minority Groups Evidence-Based Practice Foster Care Gay, Lesbian, Bisexual, Transgender (GLBT) Gender Issues HIV/AIDS Health and Illness (Cancer, Diabetes, et al.) Homelessness and Housing Immigrants International Social Work Intervention Research Low-wage Jobs and Vulnerable Workers Management and Administration Mental Health Treatment and Services Organizational Theory and Practice Parenting and Families Poverty Serious Mental Illness Social Policy Social Work Education Social Work Practice Social Work Research and Scholarship Spirituality Theory Violence in Communities Welfare Reform Women's Issues Work and Family Issues and Policies Not applicable Other Other Topics of Interest Current Research Methods/Types (check all that apply) Research_Methods Qualitative Methods-Grounded Theory Qualitative Methods-Ethnography Qualitative Methods-Case Study Qualitative Methods-Narrative Qualitative Methods-Phenomenological Mixed Methods (qualitative-quantitative) Systematic Review (e.g., meta-analysis) Pilot Study Program Evaluation Longitudinal Design Experimental/RCT Quasi-Experimental Descriptive/Correlational Time Series (includes single-system design) Survey Psychometric/Instrumentation study Ecological Analysis (e.g., GIS/mapping) Advanced Statistical Analysis (HLM, SEM, etc.) Not applicable Other Other Research Methods Current Sources of Funding for Research in Which You are Principal or Co-Principal Investigator (Please check all that apply and list in the box below, e.g., name of foundation, government, or other funding entity) Current Source of Funding Federal Agency State Agency Local Government Agency Foundation Other Private Source Own Agency Not applicable Other Other Funding Sources SSWR Anti-Harassment Policy and Code of Ethics and Procedures for Review of Member Conduct: SSWR’s anti-harassment policy and code of ethics and procedures for review of member conduct is available - here. — I acknowledge that I have received, read, and understand the anti-harassment policy and code of ethics of the Society for Social Work and Research (SSWR). Billing Address First Name Last Name Address 1 Address 2 City State Postal Code Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands US Armed Forces Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Phone Payment Information Card Number Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 / 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Security Code (CVC) After submitting payment, please look for your email confirmation. Total: $x.xx Processing...
