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Member Application

Level
Members $150.00 (USD) Subscription period: 1 year, on: March 1st Automatic renewal: no

Fill in application form

Application form

* Mandatory fields
 

 

*First Name
Middle Name
*Last Name
Suffix
*Company
Title
*Address
Address 2
Address 3
*City
*State / Province
*Postal Code
Country
Telephone
Cell Phone
Fax
*e-Mail
Website
*Password
 
Badge Name
Have you read the requirements and expectations for membership in HECA?
 

HECA Standards & Ethics

*Have you read the HECA Standards and Ethics Statement? Link: www.hecaonline.org/HECAethics
*Do you agree to fully abide by the HECA Standards and Ethics Statement in your practice?
 

Directory

Do you want to be included in the HECA Directory?
Main Directory Listing
 

Services

Services Offered
Type of Students Served
Description of Services
 

Bachelors Degree

Major
Minor (If Any)
Undergraduate College/University
Year
 

Masters Degree

Field of Study
Graduate University
Year Obtained
 

Advanced

Discipline
Doctoral University
Graduate Year
 

Other Degrees

School / Year / Description
 

Certification

Have you completed a college admissions counseling certificate program?
If yes, where did you complete your certificate?
Certificate completion date
If you are enrolled in a certificate program, what date do you expect to complete it?
CEP date
 

Experience

Have you begun working with paying clients?
How many colleges have you visited in the past year?
Description of Experience
 

Student Information

Number of Students Served In Last Year
Number of Seniors Served In Past Year
Fee Structure
 

Professional Affiliations

Professional Memberships
Other Professional Memberships
Have You volunteered for any of the following organizations? (Check all that apply)
 

HECA Volunteer Interests

Are you interested in volunteering for HECA this year?
If yes, amount of time you're able to commit to HECA volunteering:
What area(s) of expertise would you be able to share as a HECA volunteer?
Additional area(s) of expertise:
Please check the areas you are interested in volunteering for HECA:
Other volunteer areas of interest:
 

Conferences

*Please check all HECA Conferences you have attended:
Other professional conferences attended in past year:
 

Miscellaneous

How did you hear about HECA?
Comments

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