Charter Application

Become a NACADA Member | NACADA Highlights | Contact NACADA | Site Map

Membership Types

Additional Information

Charter Membership Application Form

Phone:	785-532-5717	FAX:	785-532-7732
Mail to:	NACADA Executive Office, Kansas State University 2323 Anderson Avenue, Suite 225 Manhattan, KS 66502-2912
First Name:		Initial:
Last Name:
Job Title:
Institution:
Address:

City:		State:
Zip Code:	-	Country:
Day Phone:	- -	Evening:	- -
Fax:	- -
Email Address:

Role: (Check one)		Gender: (Optional)
	Faculty Advisor (FA)		Female
	Academic Advisor/Counselor (PA)		Male
	Advising Administrator (AA)
	Counselor (CN)
	Non-Institutional (NI)
	Other (OT) _________________________________
Ethnic Background: (Optional)		Age: (Optional)
	African American/Black		Under 22	22-30
	Native American		31-40	41-50
	Hispanic/Latino		51-60	61-70
	Asian American		Over 70
	European American/White
	Other (please specify)
Commissions: (Choose up to 2)		Interest Groups: (Choose up to 2)
C01	Advising Adult Learners	C20	Health Professions Advising
C03	Multicultural Concerns	C23	Distance Education Advising
C05	Advising Administration	C24	High School to College Advising
C06	Advising Graduate & Professional Students	C25	Probation/Dismissal/Reinstatement Issues
C07	Two-Year Colleges	C27	Theory and Philosophy of Advising
C08	Small Colleges and Universities	C28	Advising High Achieving Students
C11	Advising Business Majors	C30	Liberal Arts Advisors
C12	Advising Student Athletes	C31	First-Generation College Student Advising
C13	Undecided and Exploratory Students	C33	Advising Fine Arts Students
C14	Technology in Advising	C34	Pre-Law Advising
C15	Faculty Advisors	C35	Canada
C16	Advising Students with Disabilities	C36	Native American and Tribal College
C17	Advisor Training & Development	C37	Peer Advising & Mentoring
C18	LGBTA Concerns	C38	Study Abroad Advising
C19	Advising Transfer Students
C21	Engineering & Science Advising
C22	Advising Education Majors
C26	ESL and International Student Advising
C32	Assessment of Advising
Academic Area: (Check one)
	Agriculture		Home Economics/Human Ecology
	Allied Health Medicine		Humanities
	Architecture		Law
	Business		Natural/Computational Sciences
	Education		Social Sciences
	Engineering		Undecided Students
	Fine Arts		Multiple areas
	General Arts & Science
Use of Information: (To be excluded, check the box)
	Periodically NACADA distributes mailing lists to other educational entities.

Joining or Renewing NACADA Membership: (Select one)
	March - March (applications received between December 1 - May 31)
	September - September (applications received between June 1 - November 30)
You may change your membership year but a lapse in membership could make you ineligible for elected leadership positions and certain awards.
Charter Membership:
	$45.00

METHOD OF PAYMENT:
	Check Enclosed	Purchase Order
	Visa	Master Card
	American Express
Card Number	- - -
Expiration Date:	/
Cardholder Name:
NOTE: Checks must be on a U.S. Bank in U.S. Dollars, payable to NACADA. A $15 service fee for returned checks applies. NACADA's Federal Employee Identification Number (FEIN) is 48-1114759.

NACADA Executive Office
Kansas State University
2323 Anderson Avenue, Suite 225
Manhattan, KS 66502-2912
Phone: (785) 532-5717 Fax: (785) 532-7732
e-mail: nacada@ksu.edu