KSSWA Legislative Committee Interest Form

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Please complete the questions below if you are interested in learning more about the KSSWA Legislative Committee. Please note, by filling out this form it does make you a member of the committee but provides your contact information to Shelby Burnett, LMSW KSSWA Legislative Committee Chair. Shelby will then contact you with more information regarding the KSSWA Legislative Committee.

*Intern Students, BSW, MSW, and LSCSW are welcome to join the committee.

Have a great day!

School Social Worker Name:

Email:

Interest level in the KSSWA Legislative Committee:

I would love more information about the committee!

I might want to join?

I for sure want to join the committee.

I am student and looking for further leadership and advocacy experience.

Additional Comments:

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