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Registration 2024
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New Jersey College Counseling Association
Yes, Membership in NJCCA will be FREE for another 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) 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).
2) 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 Professional Membership
FREE Student membership
Membership Category
*
University Counseling Center Affiliated
Associate Member (Private Practice/Other Clinician)
Counseling Center Retiree
University (other)
Government Professional
Other Professional
Student
Add me to the NJCCA Members ListServe. Recommended! (This is a low volume listserv with typically 1 or 2 posts/week.)
*
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 on our Listserv. You can leave the listserv at any time.
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", the name of your company/institution, or other relevant info if you do not work at a college or university.
Address (University or Office)
*
Line 1
Line 2
City
State
Zip Code
Country
Preferred Mailing Address At least enter a City and State for your work or home.
Student Members complete this section too
Degree Being Sought
*
NA
Bachelors
Masters
Doctorate
College or University
*
Program or Major
*
Anticipated Graduation Year
*
Professional interests, specialities.
*
Tell about your interests, specialties, or anything else you want us to know about yourself. Anything you want to do with NJCCA?
Click SUBMIT to complete registration.
If you have any difficulties registering, please email Jim Mandala
at
[email protected]
Submit Application