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The New Jersey College Counseling Association
New Jersey College Counseling Association

    Membership and/or Conference Registration 
    1) Start by filling out the form below. You will receive lunch if you sign up by May 27.  You can pay now or pay later, (up to and including the date of the conference!)
    2) Even if multiple people are paying together, this form should be completed for each person.
    3) Clicking the "Submit" button at the bottom of your completed form will automatically take you to payment  options. Note: Should there be no response to "Submit" be sure to check for incomplete required fields (appear as red boxes). You need to click "Submit" to register , even if you plan to pay later.
    4) If you (and your staff) have already filled out this form and just want to pay, click here. Please note: An online payment option called Square (the link "Pay now by debit or credit card" takes you to our Square site).

    Membership runs from May 1st through April 30th of each year. You may renew your membership and receive the conference discount using this form.

    Lunch will be included if you register by May 27, 2015. 

    Items marked with asterisk * are required.

    You may apply for or renew membership while registering for the conference at the same time.
    Preferred email for correspondence.
    List "Private Practice" or other relevant info if you do not work at a college or university.
    Preferred Mailing Address
    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.
    Anything you want to appear in the members directory.
    Membership and/or Conference Registration
    Select "No Membership" if you have already achieved nirvana and have no need to hear scintillating comments and questions from other university and counseling professionals.
    Registration Prices include lunch if registration is completed by May 27, 2015.
    Registering for membership now gives you a membership discount immediately. Networking Luncheon included if Registered before May 27, 2015.
    Yes means you will receive announcements and postings by NJCCA members. You will also be eligible to post yourself.

    Student  Members complete this section

    Professional Members complete this section
    For example: Ed.D. - Counseling Psychology
    If applicable.
Submit
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