Member Registration

HCLCA Member Registration

Please fill in the form below.
Full Name*

PrefixFirst NameLast Name
Position Title*
Institution/Organization*
Learning Center/Department Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Institutional Type

Two-Year CollegeFour-Year College/UniversityOther
Institutional Size (Student Population)

Under 2,0002,000-5,0005,000-10,00010,000-20,000Over 20,000
Learning Center Size (type an approximate number in each box):
Full-time professionals:
Part-time professionals:
Graduate student staff:
Undergraduate student staff:
Other (please explain):   Type a label

Name of the person paying (this helps us match things up in our records)

My Products

Membership (Select Category Below)$25.00

Professional memberships are open to any person who is actively involved in or interested in postsecondary learning centers or related activities in a postsecondary institution. Emeritus memberships are open to any person who is retired from the learning center profession and who wishes to participate in the benefits and enrichment of association with members currently practicing the profession. Student memberships are open to anyone enrolled at least half-time in and not employed full-time by a postsecondary institution.

Membership Type

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Total $0.00

Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Rows	I oversee this program.	My center provides this program but I do not oversee it.	My center does not provide this program.
Peer tutoring
Professional tutoring
One-on-one tutoring
Group tutoring
Appointment-based tutoring
Drop-in tutoring
Online-virtual tutoring
Supplemental Instruction
Structured Learning Assistance
Embedded tutoring
Peer-assisted tutoring
Study groups
Academic skills workshops
Freshman seminars/study skills course
Credit-bearing courses
Academic coaching or counseling
Academic recovery/reinstatement/probation
Early alert/warning intervention
Academic advising
Disability services
Grant-funded services (ex., TRIO, Title III)
Dedicated computer lab
Assessment/placement testing
Special student populations (i.e. student-athletes, international students, etc.)

HCLCA Member Registration

Professional Background