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TEXAS SOCIETY FOR

CLINICAL SOCIAL WORK

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Join Texas Society for Clinical Social Work

Legislative Fund Donation

The Texas Society for Clinical Social Work (TSCSW) Legislative Fund provides members ongoing legal assistance and lobbyist representation. Please consider donating to ensure continuation of clinical social work service to our diverse client populations in Texas.

First Name

Last Name

Email

Enter the amount you wish to donate:

$

Thank you for helping us make a difference!

Online Membership Application

First Name

Last Name

Credentials (Please list all desired)

Supervisor: (If you select yes, you will be added to the online TSCSW Supervisor Referral List) *

Yes

No

Email

Phone

Business Email

Business Phone

Street Address

Suite

City

State

Postal / Zip code

Membership Type *

New Membership

Renewal Membership

Select an item ($) *

LCSW (Clinical) - $150.00

LMSW (Associate) - $100.00

Retired - $40.00

Student - $25

Authorization(s) * Required

E-mail address on TSCSW group emails?

E-mail address on TSCSW website?

Add me to the Legislative Alert Email list?

List on Approved Supervisors in Texas List?

I have met Texas license requirements and follow the CSWA Code of Ethics

Yes! I would like to assist TSCSW with:

Conferences

Advocacy/Legislative

Public Relations

Membership

Study Groups

Networking Events

Short-term Projects

Professional Development

Other

Thanks for submitting!

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