Membership Application

Personal Information



Are you an LPC? *
Are you an ACA member? (American Counseling Association) *
Are you on our LISTSERV? * 
If you are not on our LISTSERV, would you like to be added?

Membership Information

Membership Status *
Membership Types & Dues *


* You Must Join at Least One *

Regular Members - Divisions & Dues
Student & Retired Members Only - Divisions & Dues (1/2 of Regular Member Dues)

Acknowledgement and Consent

Students Only - By checking the box below, I certify that I am a full-time student and not working full-time. Enter the name of the applicant's institution and professor in the fields provided.

All Applicants - By checking the box below, I agree to adhere to the ethical codes adopted by ALCA, which are those of (a) the American Counseling Association and the National Divisions which govern ALCA and its Divisions and (b) the Alabama Board of Examiners in Counseling. Copies of these codes are available upon request. I also grant permission for my name, etc. to be released as part of the ALCA directory and mailing list.