NCSSWA Membership Application
Please complete the form if you desire to become a member of the North Carolina School Social Worker Association.  Cost:  Student/Retiree Membership-$25   Professional Membership-$40. Payments can be made by check and mailed to NCSSWA Treasurer P.O. Box 736, Raeford, NC 28376.  You may also use Credit/Debit, PayPal or Cash App.  Usernames are listed below.  Thank you.
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Email *
First Name *
Last Name *
Current Address *
Phone Number *
Membership *
If you are a student, please list the University Program you are attending.  If you are a retiree, please list the School System from which you retired.  If neither applies to you, simply write in not applicable (N/A). *
Job Title *
School System *
County *
What region are you located *
Form of Payment *
A copy of your responses will be emailed to the address you provided.
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