Membership Application


Benefits of Membership include: 

  • Access to job board listings
  • Free CEU's
  • Reduced annual conference cost
  • Networking with other members from similar health setting
  • Opportunities for leadership development and mentorship
  • Discussion of best practice
  • Membership newsletter
  • Access to membership roster

  • Step 1: Membership Application > Step 2: Create Login Account > Step 3: Payment Options




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    Name:

    Home Address:
    City, State, Zip:

    Home Phone:
    Agency Name:

    Agency Address:
    City, State, Zip:

    Work Phone:
    Preferred E-mail Address:
    Which of the following best identifies the Practice Setting in which you work?
    Select:
    Acute Care 
    Home Care 
    Hospice Care 
    Rehab Care 
    Outpatient/Clinic 
    Long-term Care 
    Public Health 
    Substance Abuse 
    Mental Health 
    USSWLHC is successful through the continuing efforts of volunteer Social Work Leaders like you.  How would you like to contribute toward the advancement of its above mission?
    Select:
    Acute Care Issues 
    Home Care Issues 
    Hospice Issues 
    Long-term Care Issues 
    Outpatient/Public Health Issues 
    Please let us know of your interest in the following committees:
    Select:
    Membership 
    Education and Programs 
    Website Development 
    Annual Conference Planning 
    Awards 
    Hosting a Meeting at my Agency 
    Please double check information above and submit form to select payment options for application.

    Step 1: Membership Application > Step 2: Create Login Account > Step 3: Payment Options

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