Student Membership

by | Oct 25, 2018

Designed for those who are currently enrolled as a part-time or full-time graduate student in a counseling or related field program in an accredited institution of higher education and is not currently eligible for Professional Membership.

Price:

$30

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Cell Phone:* Cell Phone is Required

Other Phone: Other Phone is not valid

County (select Out-of-State if outside of Tennessee):* County (select Out-of-State if outside of Tennessee) is Required

Grand Region (select Out-of-State if outside of Tennesse):* Grand Region (select Out-of-State if outside of Tennesse) is Required

Region (for this field, please choose the region based on the county you provided; select Out-of-State if outside of Tennesse):* Region (for this field, please choose the region based on the county you provided; select Out-of-State if outside of Tennesse) is Required

Other Degree(s): Other Degree(s) is not valid

Highest Degree Concentration (or Current Degree Program Concentration for students):* Highest Degree Concentration (or Current Degree Program Concentration for students) is Required

Other Highest Degree Concentration: Other Highest Degree Concentration is not valid

Current Degree Institution (for students):* Current Degree Institution (for students) is Required

Expected Degree Completion Date:* Expected Degree Completion Date is Required

Have you been inducted in a CSI Chapter? If yes, please provide chapter information.: Have you been inducted in a CSI Chapter? If yes, please provide chapter information. is not valid

Are you interested in serving on any of TLPCA's committees?: Are you interested in serving on any of TLPCA's committees? is not valid

Yes No

Please list any other relevant memberships for state or national associations/organizations: Please list any other relevant memberships for state or national associations/organizations is not valid

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Have a coupon?

Coupon Code:

Invalid Coupon Coupon applied successfully

Description	Amount
Student Membership – Payment	$30.00
Total	$30.00

TLPCA Membership

First Name on Card

Last Name on Card

Zip code for Card

Credit Card Number Invalid Credit Card Number

Expiration Invalid Expiration

CVC Invalid CVC Code

Javascript is disabled in your browser. You will not be able to complete your purchase until you either enable JavaScript in your browser, or switch to a browser that supports it.

I have read and agree to the Terms Of Service*

This site collects names, emails and other user information. I consent to the terms set forth in the Privacy Policy.

No val Please fix the errors above