SKCDA Membership Application

* Indicates required field

Type of Application *

New Renewal

Membership Number (for renewals) *

Member Information

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Residence/Work *

Cell *

Email *

Membership Category

Membership Structure and Fees: *

$50.00 Individual $25.00 Student (proof of student status required) $25.00 Senior

Payment Options

Payment options currently available: *

Cheque Interac e-Transfer Credit Card (use form at the bottom of this page)

Cheque Option: Payable to Saskatchewan Career Development Association
Cheque to be mailed to: Saskatchewan Career Development Association
2127 12th Avenue North, Regina, SK, S4R 7J9

Interac e-Transfer Option: Add Saskatchewan Career Development Association as “Payee”; Email: skcda.inc@gmail.com; Use SKCDA17 as password

Gift Option

In addition to my membership fee, I would like to add a gift to help support development of the SKCDA: *

The SKCDA welcomes individuals from across the spectrum of career development to join this provincial association. *

Yes, I would like to join the SKCDA. Yes, I give the SKCDA permission to contact me by e-mail. Yes, I give permission to share my name and contact information with other SKCDA members. Yes, I have read and agree to support the SKCDA Vision, Mission and Values.

Would you like to Volunteer with the SKCDA?

Choose One *

I am interested in a board position I am interested in taking part in a working group (ex. an event planning working group) I am not interested in volunteering at this time

Voluntary Self-Declaration

Do you wish to self-identify as a member of a designated group? *

Yes No

Your response to this question is entirely voluntary and will not affect your eligibility for membership. The information will be used by the SKCDA for statistical purposes related to career development support and services. *

Saskatchewan Career Development Association
Membership Application