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

Professional Background
Number of years working in academic assistance
Learning Center Leadership Certification Level?

NoneLevel 1Level 2Level 3Level 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.)

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

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HCLCA Member Registration

Professional Background