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New Member Application

 

Below you will find the most common levels of application. Once you fill out this form, an SCADVS member will contact you to discuss which is the best fit for you or your organization. Thank you for your interest in our group. If you have questions, please contact membership@scadvs.org.

 

Subscription NameDescription
Active Membership Persons working full or part-time, with major and continuing responsibility for volunteer services. $75
Affiliate Membership For formerly active members who wish to sustain on-going affiliation. $15.00
Associate Membership For employed persons associated with non-facility organization in healthcare. $30.00

 

 

I am interested in becoming a new member:
My Name*

WORK CONTACT INFORMATION:
(required)
Organization
Title
Address 1
Address 2
City
State
Zipcode
Phone*
Email*

HOME CONTACT INFORMATION: (optional)

Address
City
State
Zipcode
Phone*
Email*