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NASW Media Referral Database Application Form

NASW maintains a spokesperson database of member social workers with a wide range of expertise who are available to speak with journalists on local or national issues.

Please fill out the following form to be considered for the NASW Media Expert Database. If you have questions, please contact Amber Mooore at 202-336-8277.

First Name:

Last Name:

Position and Affiliation:

Home Phone:

Work Phone:





MSW Received:

NASW Member Since:

Other Degrees Received/Date:

Member Number:



Please check the appropriate area(s) in which you feel you have expertise:

AIDS Counseling Immigrant and Refugee Support
Adolescent Pregnancy and Parenting International Social Work
Aging Juvenile Justice
ATOD Lesbian, Gay and Bisexual Issues
Child Abuse and Neglect Linguistic and Cultural Diversity
Chronic Illness Long Term Care
Civil Liberties and Justice Managed Care
Community Development Marital and Relationship Issues
Correctional Social Work Mental Health
Depression Military and Veterans Services
Developmental Disabilities Nursing Homes
Disaster Relief Occupational Social Work
Eating Disorders Parenting
Early Childhood Development Private Practice
Economic Policy Rural Social Work
Electoral Politics School Dropout Prevention
Environmental Policy School Social Work
Employment Assistance Programs Social Justice and Peace
Family Planning and Reproductive Choice Social Services
Family Violence Suicide
Foster Care and Adoption Transgender and Gender Identity
Genetics Violence
Health Care Welfare Reform
Health Care Policy Women’s Issues
Homelessness Workplace Diversity and Discrimination
Hospice Care Youth Development
Hospital Social Work Other:


Recent publications including scholarly and popular works:


NASW Section Membership (if any):


NASW Governance Positions: (past or future)


Have you appeared on radio?




Type of program:


Have you been interviewed on television?




Type of program:


Would you be interested in receiving media training?


Check the type of training you would be interested in receiving:

Becoming a better spokesperson

Understanding how the media works

Interview tips

Reaching out to the media

Recognizing what’s newsworthy


If you are involved in a controversial issue, either in research or practice, please indicate the issue and your position on it. We hope to refer media to experts on a broad and diverse range of controversial topics.


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