Membership Application

First Name

Last Name

Code

Phone

Mailing Address

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Credential Type

LMSW

LCSW/LCSW-R

LMHC

Psychiatrist/MD/DO

Psychologist

Psych Nurse Practitioner

Student in these subjects/field

Limited Permit

Other Credential

Which state/states you are licensed by? (If not, please enter N.A.)

Practice Field (pleas check all that apply)

Private Practice Psychotherapist

Mental Health/Outpatient Service

Hospital

Agency Administration/Policy

Aging

Community Service/Case Management

School/Child Benefit

Social Welfare

Legal System/Court

Other

How many years of practice in the fields?

A brief Bio about yourself. (Your current job position or school/major, brief relevent history, and your career interest, etc.)

Please submit a portrait/LinkedIn style photo of you. (After reviewing the application, we will post the above information on our website and create a personalized page for you.)

Upload photo

Upload supported file (Max 15MB)

Your most recent resume/CV

Upload Resume/CV

Upload supported file (Max 15MB)

By submission, the applicant agrees with the policies and privacy rules of the AASWCA.

The applicant agree to abide the AASWCA, bylaws, code of conduct, and other policies, procedures, and rules. Thank you for your application.

Thank you for your applicaiton. An application confirmation email has been sent to you. If you can't find it, please check your SPAM box or contact us by email to verify that we have received your application.

Email Subscription

Thank you for your email subscription. Please understand this is for non-member email communications. We will newsletter/event notice through this channel to subscribers.

Location: 4125 Kissena Blvd, Ste 104, Flushing NY 11355

E-mail: americanasiansocialwork@gmail.com

Phone: (929) 899-4758

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