New Member Registration

*** 2020 – 2021 CPA Membership Registration Form .pdf (coming soon) 

ORGANIZATIONAL MEMBERSHIPS: Only the ‘Main’ member will be charged. Org #2 & #3 are FREE. Please return to this page to enter their details and register each professional. If your organization would like to purchase more than 5 memberships, contact Margaret Fernandez, Treasurer, at mfernandez@riohondo.edu)

I. SELECT A MEMBERSHIP OPTION THEN THE FORM BELOW

2020-2021 INDIVIDUAL MEMBER - 60.00 USD starts from 07/01/2020 to 06/30/2021

2020-2021 Individual Membership to CA Placement Association. This membership ends 6/30/2021.

2020-2021 ORGANIZATIONAL MEMBER MAIN - 150.00 USD starts from 07/01/2020 to 06/30/2021

This 'Main' Organizational membership is charged the $150 membership rate which includes three organizational members. After completing payment, please return and enter information for Organizational Members #2 and #3.

2020-2021 ORGANIZATIONAL MEMBER #2 - free starts from 07/01/2020 to 06/30/2021

This professional membership is included with the purchase of the Organizational Member Main membership.

2020-2021 ORGANIZATIONAL MEMBER #3 - free starts from 07/01/2020 to 06/30/2021

This professional membership is included with the purchase of the Organizational Member Main membership.

2020-2021 ORGANIZATIONAL MEMBER #4 - 45.00 USD starts from 07/01/2020 to 06/30/2021

This is an additional Organizational Membership at a reduced annual rate of $45.00.

2020-2021 ORGANIZATIONAL MEMBER #5 - 45.00 USD starts from 07/01/2020 to 06/30/2021

This is an additional Organizational Membership at a reduced annual rate of $45.00.

COMPLETE ALL FIELDS BELOW (Required fields = *)

First Name*

Last Name*

Job Title*

Organization Name*

Address*

City*

State*

Zip*

Phone*

E-mail* (You will use this to log-in)

Website

Region*

•  Southern CA 
•  Central CA 
•  Northern CA 

What best describes your employer?

•  2-year Community College 
•  4-year Public College/University 
•  4-year Private College/University 
•  Government Agency/Program 
•  K-12 
•  Employer Partner 
•  Other 

Create a Password* (6-24 characters)

Confirm Password

Terms and Conditions*

By becoming a member of the California Placement Association, you agree to be an active member of this professional group; sharing, learning, and developing yourself and others through the Association's events, networking and other resources. You agree to uphold the Mission, Vision, and Values of CPA. 

Check the box below and click 'REGISTER' to complete your transaction via Paypal.

Welcome to CPA! You will be added to the CPA Member Listserv shortly. Don't forget to join our LinkedIn Group, https://www.linkedin.com/groups/4423546

  I agree to the Terms and Conditions.

  I will be paying by Check or Purchase Order. 

PAYING BY CHECK / PURCHASE ORDER INSTRUCTIONS:
1. Print / Save this completed page and INCLUDE A COPY WITH YOUR MAILED PAYMENT
2. Make checks payable to: California Placement Association
3. Send payments to: California Placement Association
c/o  Rosa Asencio
Mt. San Antonio College
1100 North Grand Avenue
Walnut, CA  91789
4. Click Register below to submit your information. Just close the PayPal window that comes up!
If you have any questions, contact Rosa Asencio, Treasurer, at rasencio@mtsac.edu (909) 724-4510

PayPal is an e-money service allowing payments and money transfers to be made through the Internet. PayPal operates with credit cards, debit cards, bank accounts and PayPal balance to make safe purchases online, without disclosing your credit card number or financial information.