Newfoundland and Labrador Association of Career Practitioners

CONTACT INFORMATION

Name:*

Full Address:*

Telephone:*

Telephone (work):

Cell:

Fax:

Email:*

*Notification of the status of your renewal application will be directed to the email address provided.

Website:

Employer Name/Address:

Position:

Position Duties:

MEMBERSHIP CATEGORY & FEES
Select the appropriate type of membership you are requesting.

Check one:
Practitioner Member ($75)
Associate Member ($50)
Student Member ($25)
Ex-Patriot Member ($35)

Select the appropriate box to indicate whether you are requesting or renewing a membership.
New Membership
Renewal

Membership Expiry Date

Select the appropriate box to indicate whether you are requesting or renewing a membership.
I wish to be EXCLUDED from the directory.
Please INCLUDE the information in the directory as follows:

VOLUNTEER INTERESTS
Throughout the year, the NLACP will provide opportunities for its members to become directly involved in the planning and implementation of various initiatives. By checking the boxes below,your name will be added to the NLACP’s database of potential volunteers. You may be subsequently contacted by an NLACP representative to discuss your interest and availability for participation in specific activities.

Check Area(s) of Interest:
Communications (E-News, Website)
Professional Development
Communications (Press, Advertising, Promotion)
Event Planning
Membership (Membership Drive, Benefits)
Other (Please explain)

Enter verification ID #:

By pressing Submit, you confirm that all your entered information is correct.