Membership Form

Welcome to the Virginia Association of School Social Workers, we are grateful that you have chosen to invest in yourselves and your profession. You will receive a message from our membership chair, Shonda McClure, shortly. If you have any questions, please contact her at shonda.mcclure@cpschools.com.

Membership Year
Term runs from September 1 - August 31st
Name*
First Last
Home Address*
Street Address Address Line 2 City State ZIP Code
Employer*
Employer Address*
Street Address Address Line 2 City State ZIP Code
Preferred Email*
Preferred Phone*
Current Job Position*
Work Setting*
Completed Years of Service
Please enter a number from 1 to 40.
Membership Fees (Please mark only one)*
Region*
How will you make a payment?*
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If paying your membership fee via check, please mail them to our Treasurer, Annette Lumsden-Cook 3333 Cheverly Rd. Richmond, VA 23225