application Application Form Please follow the steps in this form to become a member. Email Address *First Name *Last Name *PhoneStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweMembership Type *Membership TypeIndividual ($50.00)Student ($25.00)Senior ($25.00)Employee Group MembershipStudent ID *Choose FileNo file chosenDelete uploaded fileType of Employee Group *Select Type of Employee GroupSmall Group ($225.00)Mid-Sized Group ($360.00)Large Group ($600.00)Number of members in the group *Number of members in the group *Number of members in the group *First MemberFirst Name *Last Name *Email Address *Second MemberFirst Name *Last Name *Email Address *Third MemberFirst Name *Last Name *Email Address *Fourth MemberFirst Name *Last Name *Email Address *Fifth MemberFirst Name *Last Name *Email Address *Sixth MemberFirst Name *Last Name *Email Address *Seventh MemberFirst Name *Last Name *Email Address *Eighth MemberFirst Name *Last Name *Email Address *Ninth MemberFirst Name *Last Name *Email Address *Tenth MemberFirst Name *Last Name *Email Address *Eleventh MemberFirst Name *Last Name *Email Address *Twelfth MemberFirst Name *Last Name *Email Address *Thirteenth MemberFirst Name *Last Name *Email Address *Fourteenth MemberFirst Name *Last Name *Email Address *Would you like to Volunteer with the SKCDA? *I am interested in a board positionI am interested in taking part in a working group (ex. an event planning working group)I am not interested in volunteering at this timeVoluntary Self-Declaration: Do you wish to self-identify as a member of a designated group? *YesNoYour 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. *WomanFirst NationsMétisInuitPerson with disabilitiesVisible minorityOtherThe 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.Payment Option *Payment OptionChequeInterac e-TransferCredit CardGift OptionCADIn addition to my membership fee, I would like to add a gift to help support development of the SKCDA.AmountPayable to: Saskatchewan Career Development Association Cheque to be mailed to: Saskatchewan Career Development Association 2127 12th Avenue North, Regina, SK, S4R7J9Payee: Saskatchewan Career Development Association Email: skcda.inc@gmail.com Password: SKCDA17Select Payment Subscription Type *Payment Subscription TypeOne Year Payment (manual yearly renewal)Yearly Subscription (Automatic yearly renewal)Credit / Debit Card *All totalOnly Membership AmountRegisterPlease do not fill in this field.