SD Counseling Association –2011Application for Membership

Please fill out the information completely. Please type or print.

Name______E-mail______

Street Address/P.O. Box______

City______State______Zip + 4______

Telephone: Office ( ) ______Home ( ) ______

Membership Year runs: July 1 to June 30

Memberships: (Circle appropriate amounts)

South Dakota Counseling Association(Circle the one that applies to you)

Regular $70

Student/Retired $20

Affiliate $70

New Professional $35

Join as many Areas of Specialty as desiredRegularStudent/Retired

SD Assoc. for Counselor Education & Supervision $15 $15

SD Indian Counselors Association $15 $10

SD Mental Health Counseling Association $25 $10

SD Rehabilitation Counselng Association $10 $ 5

SD School Counselor Association $30 $10

Join the Chapter in your area of the state

Central Chapter $ 5 $ 5

Cornbelt Chapter $ 5 $ 5

Coteau Chapter $ 5 $ 5

Interlakes Chapter $ 5 $ 5

Lewis and Clark Chapter $10 $ 5

North Central Chapter $10 $ 5

Palace/Pheasant Chapter $10 $ 5

Sioux Chapter $10 $ 5

WestRiver Chapter $10 $ 5

TOTAL DUES: (Make checks payable to SD Counseling Assoc.)______

Donation for SDCA Legislative Fund______

(not tax deductible)

Donation for SDCA Graduate Student Endowment Fund______

(tax deductible)

Donation for SDCA Graduate Student Membership______

TOTAL ENCLOSED:______

MAIL this form and check for total dues and donations to: (form expires 6-30-11)

SD Counseling Association

6514 Evergreen Acres Drive

Wentworth, SD57075

THE SOUTH DAKOTA COUNSELING ASSOCIATION

Promoting public confidence and trust in the counseling profession

The South Dakota Counseling Association (SDCA) is a partnership of associations representing professional counselors who enhance human development by providing benefits, products and services to expand professional knowledge and expertise; to promote recognition of counselors to the public and media; and to represent member’s interests before federal, state, and local government. SDCA represents nearly 500 professional counselors in the counseling profession and related fields of interest. SDCA is the parent organization of professional counselors under whose umbrella there are a network of 5Areas of Specialty and 9 Chapters.

SDACES SD Association for Counselor Education and Supervision emphasizes the need for quality education and supervision of counselors for all work settings.

Regular - $15 Student/Retired - $15

SDICA SD Indian Counselors Association strives to improve cultural empathy and understanding of Native Americans by educating other professionals and the public.

Regular - $15 Student/Retired - $10

SDMHCASD Mental Health Counselors Association represents mental health counselors, advocating for client-access to quality services within the health care industry.

Regular - $25 Student/Retired - $10

SDRCASD Rehabilitation Counseling Association is a state level organization of rehabilitation counselors, educators, students, and supporters who are concerned with improving the lives of people with disabilities. Additionally, the organization strives to work with state officials to develop appropriate licensure requirements for rehabilitation counselors.

Regular - $10 Student/Retired - $5

SDSCA SD School Counselors Association promotes professional school counseling activities that affect personal, educational and career development of students.

Regular - $30 Student/Retired - $10

Also, under the SDCA umbrella are ten chapters. These chapters are organized geographically representing professional counselors from all specialty areas. Their purpose is to provide programming at the local level for members and the public. These groups usually meet on a monthly or bi-monthly basis from September through May.

Central ChapterPierre AreaRegular - $ 5 Student/Retired - $5

Cornbelt Chapter Parker/Lennox AreaRegular - $ 5 Student/Retired - $5

Coteau ChapterWatertown AreaRegular - $ 5 Student/Retired - $5

Interlakes ChapterBrookings AreaRegular - $ 5 Student/Retired - $5

Lewis & Clark ChapterVermillion/Yankton AreaRegular - $10 Student/Retired - $5

North Central ChapterAberdeen AreaRegular - $10 Student/Retired - $5

Palace/Pheasant ChapterMitchell/Huron AreaRegular - $10 Student/Retired - $5

Sioux ChapterSioux Falls AreaRegular - $10 Student/Retired - $5

WestRiver ChapterGreater Rapid City AreaRegular - $10 Student/Retired - $5