Home Full Membership Application Full Member application form Please complete ALL 7 sections of the application form below to become a full member of Nagalro. Full membership includes insurance cover. Any queries please email us at nagalro@nagalro.com or telephone 01372 818504. Applicant DetailsQualificationsCurrent WorkWork ExperienceSpecific ExpertiseAdditional InformationDeclaration *First Name Middle Name *Surname Previous Names *Home Address Line 1 Home Address Line 2 *Town / City *County Postcode Home Phone Business Phone Mobile *Email *Ethnic OriginAsian - BangladeshiAsian - IndianAsian - PakistaniAsian - BritishAsian - otherBlack - AfricanBlack - CaribbeanBlack - BritishBlack - otherChineseChinese - BritishChinese - otherOf mixed parentageWhite - BritishWhite - EuropeanWhite - non-EuropeanWhite - otherPrefer not to stateOther *Social Care Council Registration Number Social Care Council Registration Expiry Social Care Regulatory BodySocial Work England (SWE)Social Care WalesScottish Social Services Council (SSSC)Northern Ireland Social Care Council (NISCC)Coru, Health and Social Care Professions Ireland Qualification Date Awarded Awarding Body Qualification Date Awarded Awarding Body Qualification Date Awarded Awarding Body Qualification Date Awarded Awarding Body *Employed by Local Authority or other statutory body Yes No *Employed by voluntary organisation or charity Yes No *Employed by Cafcass as Bank Worker, Practitioner or Manager Yes No *Employed by a social work agency or other independent organisation Yes No *Self-employed contractor to Local Authority or statutory body Yes No *Self-employed contractor to voluntary organisation or charity Yes No *Self-employed contractor to Cafcass Yes No *Self-employed contractor to social work agency or independent organisation Yes No *Self-employed - no regular contractual arrangements Yes No *Director, partner or manager of agency/organisation Yes No Employer/contractor From To Employer/contractor From To Employer/contractor From To Employer/contractor From To *Specific Expertise including languages spoken other than English and knowledge of specific culture: Do you wish to become a member of the Nagalro private members’ forum? This is an on-line group of members who exchange ideas and access information. *Join private members' forum Yes No *Have you been a Nagalro member in the past? Yes No What year were you a member of Nagalro? Do you wish to apply to join the Nagalro Directory of Independent social workers open to full members of Nagalro? There is an additional charge for this. *Join ISW Directory Yes No Are there any areas of training you would like Nagalro to focus on? Please select... Yes No Have you had a claim upheld (or is a claim currently outstanding) for professional negligence, unprofessional conduct or breach of confidentiality resulting in insurers having to pay damages? Yes / No If yes please give details Are you aware of any circumstances which may give rise to a claim being made against you, even though no such claim has actually been made to date? Yes / No If yes please give details Have you ever had a complaint made against you to your Social Work Registration Authority, please provide dates of the complaint and any hearings and also any interim or final outcome if appropriate. Yes / No If yes please give details *I declare that I do not practice in or accept instructions from organisations or individuals within the following regions: Belarus/Cuba/Iran/Libya/North Korea/Syria/Russia/Venezuela/The Crimean Region Crimea, Sevastopol, Donetsk or Luhansk regions of Ukraine. Yes No *I have specified my social care registration number Yes No In those areas where registration with a regulatory body is not required in order to practice as a social worker please send the equivalent of a CRB check. *I have made payment (cheque or bank transfer) Yes No I have read the Nagalro privacy notice and consent to Nagalro processing my personal data in accordance with the terms of that notice. *Accept privacy policy Yes No *Signature *Date Cost of Membership Membership commencing from: May 2023 - March 2024 £235 For a different period please contact the Nagalro Office for a quote NB If you are paying from outside the UK banking system please contact the Nagalro office at nagalro@nagalro.com for a quote. Payment for the first year should be by bank electronic transfer to: Sort Code 30-94-77 Account No: 04223470 Name of Account: Nagalro OR by cheque made payable to Nagalro and sent by post. Please allow a minimum of 5 days for cheques to clear. After the first year, payment can be by annual or quarterly direct debit. Please note that payment must be for the full amount in GBS (£ sterling) For those members residing outside the UK, you may need the following information: BIC: LOYDGB21057. IBAN: GB62 LOYD 3094 7704 2234 70. We recommend that members from the Republic of Ireland make payment via Revolut. Any queries please contact us at nagalro@nagalro.com or 01372 818504. ContinueBack News & Resources Read Nagalro's press releases, consultation responses and other news here. 24May2023 Nagalro joins calls to end smacking Children in England 23May2023 Report from Nuffield Family Justice Observatory re 'Ethnicity of children in care and supervision proceedings in England' 3May2023 Address by Sir James Munby, Chair Nuffield Family Justice Observatory and former President of the Family Division, at the Nagalro conference on 13 March 2023 Explore all News Articles Events Make a date with training, conferences and meetings. 26Sep2023 Communicating with Children - workshop to present easy to access tools and techniques to support parenting and family assessments 2Oct2023 The Rise and Rise of Deprivation of Liberty Orders 14Nov2023 Effective Assessment and Intervention in working with disguised compliance/parental resistance in safeguarding children work Explore all Events ‹ › × ×