0
Retrieving items in your cart...
Sign Up
Login
Portal Home
Main AOSW Website
Committees
Committee Directory
Memberships
Become a Member
Renew Your Membership
Individual Directory
My Learning Portal
Events
Upcoming Events
Exhibits
My Organization's Exhibits
Upcoming Exhibits
Online Store
Merchandise
Sponsorships
Sponsorship Benefits
Become a Sponsor
Donate Now
Quick Pay
My Shopping Cart
Become a Member
Please wait ...
1
Information
2
Membership
3
Review
4
Submit
5
Confirmation
Purchasing for “Guest”
Login to Your Account
Membership Application
Please complete the following information so that AOSW has current information on your practice. You will choose your membership type on the following screen.
Professional Details
Years Oncology:
Years Social Work:
Employment:
Full-Time
Part-Time
Retired
Self-Employed
Unemployed
Patient Population:
Adult
Both
Pediatric
None
Salary Range:
Below $20000
$20000-$24999
$25000-$29999
$30000-$34999
$35000-$39999
$40000-$44999
$45000-$49999
$50000-$54999
$55000-$59999
$60000-$64999
$65000-$69999
$70000+
Do not care to respond
Credentials:
Primary Practice
Primary Area Practice:
Administration
Clinical/Patient Care
Education
Research
Other (please specify)
Prim Area Practict Other:
Primary Position:
Administration (Dir/Asst Dir/VP)
Case Manager
Consultant
Direct Patient Care
Educator
Other (please specify)
Patient Education
Supervisor/Coordinator
Prim Position Other:
Primary Work Setting:
Cancer Support Center
Community Cancer Center
Home Care
Hospice
Hospital (academic)
Hospital (non-academic)
Insurance/HMO
NCI-Designated Comprehensive Cancer Center
Nursing Home
Outpatient/Ambulatory Care
Physician Office
Private Practice
School of Social Work
Self-Employed
Veterans Hospital
Other (please specify)
Prim Work Setting Other:
Primary Specialty:
Adult Hematology
Adult Oncology
Adult Radiation Oncology
Genetic Counseling
Hospice
Pain/Palliative Care
Pediatric Hematology
Pediatric Oncology
Pediatric Radiation Oncology
Psychotherapy/Counseling
Research
Other (please specify)
Prim Spec Other:
Secondary Practice
Secondary Company :
Secondary Title :
Secondary Designation:
Secondary Area Practice:
Administration
Clinical/Patient Care
Education
Research
Other (please specify)
Secondary Area Practice Other:
Secondary Position:
Administration (Dir/Asst Dir/VP)
Case Manager
Consultant
Direct Patient Care
Educator
Patient Education
Supervisor/Coordinator
Other (please specify)
Secondary Position Other:
Secondary Work Setting:
Cancer Support Center
Community Cancer Center
Home Care
Hospice
Hospital (academic)
Hospital (non-academic)
NCI-Designated Comprehensive Cancer Center
Outpatient/Ambulatory Care
Physician Office
Private Practice
School of Social Work
Self-Employed
Veterans Hospital
Other (please specify)
Secondary Work Set Other:
Education
Social Work Education:
Associate
Bachelors
Doctorate
FT
Masters
PT
To qualify for student membership, you must affirm that you are currently enrolled in a degree-granting program and that your graduation date is in the future. :
Graduation Date:
[]
Other Field Education:
Associate
Associate-(RN - MastersilitAssociatery sociAssociatel work)
Bachelors
Bachelors - EleMasters EDoctorate
Bachelors - Psychology
Bachelors - Sociology
Bachelors-Associaterts
Bachelors-BachelorsSIV
Bachelors-not specifieDoctorate
Bachelors-psychology
christiAssociaten eDoctorateucAssociatetion
Diploma/Certificate
Doctorate
DoctorateC
DoctorateC - not specifieDoctorate
DoctorateC-fAssociateMastersily therAssociatepy
Doctorate-JDoctorate
Masters
Masters - DoctorateiDoctorate not specify
Masters - Doctorateivinity
Masters - Not SpecifieDoctorate
Masters - pAssociatestorAssociatel counselling
Masters - psychology
Masters-Bachelorsone MastersAssociaterrow trAssociatensplAssociatents AssociatenDoctorate heMasters
Masters-gerontology
Masters-not specifieDoctorate
Masters-PuBachelorslic AssociateDoctorateMastersn
Masters-puBachelorslic heAssociatelth
Masters-School AssociateDoctorateMastersinistAssociatetion
O - Mastersusic
O-psychology
O-sociology
Other Field Education Specify:
Next