• Council of Nephrology Social Workers
    Local Chapter Affiliation

     

  • Welcome!

    Review the Guidelines for NKF-CNSW Chapter Affiliation if this your first time affiliating or you need a refresher.

    A red asterisk (*) indicates a required field. You will not be able to submit this application if a required field is blank.

    To submit the form, click the "Submit and close" button at the bottom of the page. This only needs to be done once before leaving the site, not after filling in each section.

    If you close your browser before clicking the "Submit and close" button, your answers will be lost. You will have to re-enter them on your next visit.

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  • Membership profile:


  • Other Officers

  • *Required:  Membership Roster

    Upload a copy of your chapter's membership roster, as a Microsoft Excel document.

    Please name your document in the following format: "[ChapterName]Roster.xls".

    *Roster should include the following:

    • First name
    • Last name
    • Appropriate credentials (MSW, LSW, LCSW, etc.)
    • Preferred mailing address
    • E-mail address
    • If known, please indicate if the local member is also an NKF-CNSW national member (not required).

    Filenames CANNOT exceed 50 characters. 

  • *Required: Chapter Rules & Regulations

    All Local Chapters must abide by the National Chapter of Nephrology Social Workers Rules and Regulations.

    The chapter may choose to have its own Rules and Regulations/Bylaws. If your chapter has established its own Bylaws, upload a copy here (Microsoft Word or PDF document).

  • NKF Policies

    By completing the 2011 Local Chapter Affiliation, the Chapter is also affirming it has read and accepted NKF's chapter policies.

  • Statement of Support:

    I agree to support the NKF Council of Nephrology Social Workers, to accept their Rules and Regulations, and to abide by the guidelines for affiliation.

  • Thank you very much for your time, effort, and support!

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