PENNSYLVANIA COLLEGE COUNSELING

PENNSYLVANIA COLLEGE COUNSELING ASSOCIATION
A DIVISION OF THE PENNSYLVANIA COUNSELING ASSOCIATION

Membership is composed of professionals from Pennsylvania's public and private universities, colleges, community colleges and technical institutions who identify as counselors and promote college student development. Students engaged in graduate counseling programs and retired professionals are also welcome.

First Name
Last Name
Degree and Title
Institution
Mailing Address
Address (cont.)
City
State
Zip
Work Phone
FAX
E-mail

Are you a member of:

American College Counseling Association
American Counseling Association
Pennsylvania Counseling Association
Professional Certifications of Licenses held

PaCCA Membership Dues:

Please indicate the type of membership for which you are applying.

Professional: Employment in or retirement from a higher educational institution as a counselor and possession of at least a master's degree in counseling or closely related field from an accredited institution of higher education
Student: Applicants who are students in graduate study in counseling or a closely related field at an accredited college or university. Student applicants must obtain the approval of a faculty sponsor..
University/Program or Department
Faculty Sponsor

Associate: Persons who support PaCCA's mission and who have an interest in affiliation without meeting requirements for professional or student membership

By clicking submit below, I certify that all of the information provided in this application is true and that providing false information may result in my application for membership in PaCCA being denied or terminated. I also certify that I am aware of the requirement to abide by the American Counseling Association Code of Ethics and Standards of Practice and the by laws set forth by the PaCCA.