Date: ______________
Campus:
UP____
NC____
BT____

 

STUDENT SOCIAL WORK ASSOCIATION

        As an active member of the Student Social Work Association (S.S.W.A.), you will have the opportunity to take an active role in the monthly association meetings and take part in assisting and/or organizing many worthwhile, charitable community functions.  All social work students are encouraged to join.

MEMBERSHIP APPLICATION

Open to all Social Work Students
No Minimum GPA or service Points
$5.00 per semester
(please make checks payable to Phi Alpha Honor Society)

    I am interested in joining the Student Social Work Association organized for the following purposes: to support and strengthen the School of Social Work at Florida International University; to improve professionalism for students; to enhance the educational process; to promote communicative relations among students, faculy and staff; to provide continuing network upon graduation; to provide an on-campus network for active student members; and to uphold the NASW code of ethics.

NAME: _________________________________________________________________________

ADDRESS: ______________________________________________________________________

CITY _____________________STATE _____________ ZIP CODE _________________________

PHONE: (          )________________________ E-MAIL: __________________________________

AREA OF INTEREST WITHIN THE SOCIAL WORK PROGRAM: __________________________

_________________________________________________________________________________

_________________________________________________________________________________

SS# ________________________________

BSW ___________            MSW _________        Expected Date of Graduation: ___________________

WAIVER FORM -- Must be filled out and submitted along with this application

** Additionally, all SSWA members are encouraged to apply for membership within the chapter of the National Phi Alpha Honor Society for social work.  Members in good standing are entitled to purchase an honor's stole and medallion for graduation.  To obtain an application, please visit:  Phi Alpha Application.

*** Please print this form & submit with your $5 to Mary Helen Hayden at Florida International University, University Park Campus, School of Social Work ECS 459B, Miami, FL. 33199.