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HCLCA Membership Registration
Please complete this form to register as a member of OCLCA.
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Email
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Your email
Prefix
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First Name
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Last Name
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Institutional Affiliation
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Learning Center/Department Name
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Professional Title (e.g. Director, Coordinator, Tutor)
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Your answer
Phone Number (XXX-XXX-XXXX)
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Address (Street, City, State, Zip)
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Are you currently a student, working professional, or emeritus (retired)?
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Number of years working in academic assistance
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Learning Center Leadership Certification Level?
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What service, if any, have you provided to the profession at the local, state, or national level?
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Please list any recent publications or presentations
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Areas of expertise (i.e. assessment, tutor training, marketing, etc.)
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