Member Spotlight

Collecting Information

This information is used by the Pennsylvania Chapter staff and the membership committee to make a member spotlight. The member spotlight will be used in the e-newsletter, website, and on social media. If you have any questions please reach out to Rachel Rhodes at rrhodes.naswpa@socialworkers.org.

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* 1. YOUR CONTACT INFORMATION

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Are you nominating yourself or someone else?

Myself

Someone else

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* 3. Full name of the person being nominated

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* 4. Nominees E-mail Address

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* 5. Nominee's Phone Number (including area code)

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* 6. Where in PA is the nominee located?

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* 7. What are the nominees preferred pronouns?

She/her

He/him

They/them

Other (please specify)

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* 8. What brought the nominee to the social work profession?

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* 9. Please describe the nominees current or most recently held position in the profession.

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* 10. In your opinion what is the nominee's greatest impact on the future of social work through their professional career?

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* 11. Is the nominee a member of NASW-PA?

Yes

I am not sure. NASW-PA needs to look into this.

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* 12. Describe why the nominee is a member of NASW or how NASW has helped you as a social worker.

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* 13. By clicking 'yes' below, you agree to the release of information (located on main page)

Yes

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* 14. Upload a photo of the nominee here for us to use (make sure permission is granted before uploading) *

PNG, JPG, JPEG file types only.

Choose File

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* 1. YOUR CONTACT INFORMATION

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* 2. Are you nominating yourself or someone else?

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* 3. Full name of the person being nominated

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* 4. Nominees E-mail Address

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* 5. Nominee's Phone Number (including area code)

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* 6. Where in PA is the nominee located?

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* 7. What are the nominees preferred pronouns?

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* 8. What brought the nominee to the social work profession?

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* 9. Please describe the nominees current or most recently held position in the profession.

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* 10. In your opinion what is the nominee's greatest impact on the future of social work through their professional career?

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* 11. Is the nominee a member of NASW-PA?

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* 12. Describe why the nominee is a member of NASW or how NASW has helped you as a social worker.

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* 13. By clicking 'yes' below, you agree to the release of information (located on main page)

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* 14. Upload a photo of the nominee here for us to use (make sure permission is granted before uploading) *

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* 15. Please include the credentials of the person you are nominating