Join WSSA


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WSSA Membership Year Runs July 1 through June 30


Name____________________ Employer/Organization address______________
Title_____________________ _______________________________________
Home address_____________ Your area(s) of work interest________________
________________________ _______________________________________
Your mailing address_______ List special interest area(s)__________________
________________________ County # or agency_______________________
Work phone______________ Ext.________

MembershipMembership CategoryEmployer Type
__New (never a member)__Regular..........  ..$25.00__County
__Continuing (member last year)       __Student............  $12.50__State
__Renewal (previous member) __Contributing......$35.00+ __ Students
 __Private Agency

Regular members, unlike associates, are employed by a government agency or social service organization, or serve on a committee or board that deals with social services. For information, call Sherri Arnold at (262) 697-4549.

 
AssociationEmployee Job Function
__1. Northland            __Mgmt./Supervisor
__2. S. Central__Social Worker
__3. Eastern__SS Para Prof.
__4. W. Central __Economic Support Spec.
__5. S. Eastern__Clerical
__6. N. Central__Employment Program
__Other

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Print this membership application, fill it out and mail it, along with your membership dues, to:

Sherri Arnold
Kenosha Co. - Goodwill
8600 Sheridan Road
Kenosha, WI 53143