NCSHLA Membership Center: Become A Member of NCSHLA

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Note: Memberships received prior to Sept. 1st will receive a $10 dues discount

Active (Dues $90/yearly)* - Active members are voting members of the Association and enjoy all NCSHLA privileges. Active members are those holding at least a master's degree in speech/language pathology, audiology, speech/hearing science, education of the hearing-impaired or a related field, or other master's degree and evidence of research and/or performance in the field of communication disorders. Members in good standing of the American Speech-Language-Hearing Association are automatically eligible for Active status.

Associate (Dues $70/yearly)* - Associate members have all NCSHLA privileges except voting and holding office. Associate membership is open to those with less than a master’s degree and those who are currently employed in the professions of speech/language pathology, audiology or related areas, but who are not eligible for Active membership.

Student (Dues $35/yearly)* - Student members have all NCSHLA privileges except voting and holding office. Student membership is open to graduates or undergraduates majoring in speech/language/hearing or related areas in accredited North Carolina college, or university programs, but who are not eligible for Active membership.

Doctoral Student (Dues $35/yearly)* - Doctoral Student members are current, or eligible, for active membership of the Association and are enrolled in a doctoral program for speech-language pathology, audiology, or other related fields. You can apply for a reduced rate at the student level for up to three years and retain voting privileges. Proof of doctoral program enrollment must be attached for approval by the NCSHLA Membership and Recognition Committee. Doctoral students are required to submit an application and proof of doctoral program enrollment annually for approval.

Corporate Membership* - Corporate memberships are also available to entities interested in supporting the professions of speech/language pathology and audiology but are not otherwise eligible for membership (e.g., rehab agencies, private practices, hospitals, product suppliers, etc.) You can download complete Corprorate Member information or contact the NCSHLA Central Office for additional info.

*NOTE: NCSHLA dues are a business expense (not a charitable contribution) as allowed by federal and state tax laws and may be deductible as a non-reimbursed business expense, up to 80% of the total amount paid.

When registering as a NCSHLA Active or Associate Member, please include the following additional information:

License Number:

When registering as a NCSHLA Associate Member, please include the following information:

Supervisor's Name: Employer/Supervisor Email Address:

When registering as a NCSHLA Student Member, please include the following information:

Program Chairperson's Name: Program Chairperson's Email:

NOTE: When registering as a NCSHLA Doctoral Member, you must provide proof of enrollment on University/Collegiate letterhead.complete and return them to the NCSHLA Central Office each year.

Highest Degree Earned

Principle Area of Practice

Sex

Female
Male

Race/Ethnicity

Do you offer bilingual services?

Yes
No
Enter Languages Supported:

American Speech Language Hearing Association (ASHA) Affiliation

ASHA Certificate of Clinical Competance

American Academy of Audiology (AAA) Affiliation

Do you wish to become a member of the NC AAA chapter (no additional charge) Yes
No

Are you licensed by the NC Board of Examiners (including temporary) Yes
No

Are you registered by the NC Board of Examiners as an SLP Assistant? Yes
No

Are you licensed by the NC Hearing Aid Dealers and Fitters Board? Yes
No

Are you certified by the NC Department of Public Instruction? Yes
No

Please indicate the type of 'umbrella agency' that establishes policy for your work setting.

State Department other than Department of Public Instruction
State Department of Public Instruction
Federal Agency, including Veterans Affairs, Head Start, ect.
County/City agency, including health departments, public hospitals, etc.
Private, including small/large practices, institutions, hospitals.
Student
University, college or community college

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I will be faxing over my credit card info to the NCSHLA at (919) 832-0445.

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