User account

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Membership Level

Choose your Membership Level:

None

CSPA Professional Membership

CSPA-NYS Graduate Student Membership

Contact Information

First Name: *

Last Name: *

Job Title: *

Institution: *

Preferred Mailing Address: *

Address, Cont. (Optional):

City:

State:

ZIP:

Alternate Email:

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Phone Number: *

General Information & Demographics

How many years have you worked full-time in the profession?:

Are you a member of ACPA?:

Yes

If other work setting, please specify:

Sex:

Male

Female

Transgendered

Race:

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If other race, please specify:

Professional Development: What I Want or Need from CSPA-NYS is...:

Involvement:

I would like more information on how to get involved with CSPA.

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Membership Category

Membership History: *

I am new to CSPA

I am renewing my membership

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For Graduate Students Only:

I certify that I am currently enrolled in a graduate program and I am not currently enrolled full-time during this academic year.

The content of this field is kept private and will not be shown publicly.

Referral Information:

Please share with us the name of the person who suggested CSPA membership to you (optional). The content of this field is kept private and will not be shown publicly.

How You Heard About CSPA:

If you were not referred to CSPA, how did you hear about us?

Directory Information:

I do not want to be included in the membership directory.

I do not want my information provided to other groups.

The content of this field is kept private and will not be shown publicly.

CSPA-NYS: the College Student Personnel Association of New York State

User account