Join MCCA Online

This is a three-step registration.

Part one: Fill out the Membership form below.

Your Information: (all fields required)
First Name
Middle Initial
Last Name
Street Address
City, State, Zip
Phone
Email
Professional Information:
Place of Employment
Street Address
City, State, Zip
Work Phone
Cell Phone
Work Email
Fax
Work Setting
Your Website
Name of person who invited you to join MCCA (if applicable)
Are you a member of AMHCA? Yes No We encourage counselors to join the American Mental Health Counselors America (AMHCA), which includes membership in MCCA because there is a unified dues agreement that provides a 20% discount ($44.00 savings) for professional members. To join both go to www.amhca.org/join or Call 1-800-326-2642 x103 or send an email to lmorano@amcha.org for more information.
Certification Information:
University or college where you obtained your degree
List degrees you have
List Licenses/Certifications & numbers you hold
Is your license or certification present under review?	Yes No
Types of Membership: (View Descriptions)
*Student Applicants Must Complete the Following:
University or college where you obtained your degree
Degree you plan to obtain
Year you plan to graduate