HCLCA Member Registration
Please fill in the form below.
Full Name
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Prefix
First Name
Last Name
Position Title
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Institution/Organization
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Learning Center/Department Name
E-mail
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Phone Number
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Area Code
Phone Number
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Professional Background
Number of years working in academic assistance
Learning Center Leadership Certification Level?
None
Level 1
Level 2
Level 3
Level 4
What service, if any, have you provided to the profession at the local, state, or national level?
Please list any recent publications or presentations
Areas of expertise (i.e. assessment, tutor training, marketing, etc.)
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Membership Selection
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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
Professional
Student
Emeritus
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