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New Jersey College Counseling Association
Due to the COVID-19 Pandemic membership in NJCCA will be FREE THIS YEAR.
During this difficult time we want you to be able to take advantage of our Listserve, online meetings, and web resources.
Membership Registration
1) Fill out the form below
for each individual
registering for/renewing membership. We recommend you add yourself to the Listserve so you can easily be notified of events.
2) Click the "Submit Application" button at the bottom of your completed form .
Note: Should there be no response to "Submit" be sure to check for incomplete required fields (appear as red boxes).
3) That's it!
Membership Registration
Click
HERE
to learn about membership.
Membership runs from June 1st through May 31st of each year.
*
Indicates required field
Membership Type
*
FREE (due to COVID-19) Professional Membership
FREE (Due to COVID-19) Student membership
Membership Category
*
University Counseling Center Affiliated
Associate (Private Practice/Other Professional)
Retiree
Student
Add me to the NJCCA Members ListServe (Recommended!)
*
Yes!
No.
Yes means you will receive announcements and postings by NJCCA members. You will also be eligible to post yourself.
Please note. We WILL NOT SHARE you information with anyone or allow advertisements to our ListServe.
Name
*
First
Last
Job Title/Position
*
Short description or title of your job or position at the institution where you work. For independent practice list your profession. E.g. Clinical Social Worker, Director of Counseling Services, Career Counselor, Psychologist, Graduate Student, Postdoctoral Trainee, etc.
Email
*
Preferred email for correspondence.
Preferred Phone Number (Optional)
*
Institution (University or College Name/Private Practice/Other)
*
List "Private Practice" or other relevant info if you do not work at a college or university.
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Preferred Mailing Address
Student Members complete this section too
Degree Being Sought
*
NA
Bachelors
Masters
Doctorate
College or University
*
Program or Major
*
Anticipated Graduation Year
*
Click SUBMIT to complete registration.
If you have any difficulties registering, please email Jim Mandala at
jmandala@drew.edu
Submit Application
