Application
for Organizing Unit Status
Organizing Unit
1.
Name
___________________________________________________________________________
Address______________________________________________________________________________
Work Phone
__________________________Home Phone_____________________________________
E-Mail___________________________
Fax_________________________________________________
2.
Name
___________________________________________________________________________
Address______________________________________________________________________________
Work Phone
__________________________Home Phone_____________________________________
E-Mail___________________________
Fax_________________________________________________
3.
Name
___________________________________________________________________________
Address______________________________________________________________________________
Work Phone
__________________________Home Phone_____________________________________
E-Mail___________________________
Fax_________________________________________________
Name
of Organizing
Unit________________________________________________________________
Territory (specific
boundaries) which you are organizing
Resources for this
effort_________________________________________________________________
Estimated Time
Line____________________________________________________________________
Names &
Addresses of those taking responsibility for membership communication:
Who is available to
meet with AASWG Board?
______________________________________________________________________________________
| 
The
Association for the Advancement of Social Work with Groups, Inc.