Membership
Membership Application

Annual Dues Apply to the Year Beginning January 1 and Ending December 31.

NJSHA is proud that we have been able to maintain our membership dues structure over the past few years. At the same time, NJSHA membership benefits have continued to increase. Such benefits include: a legislative voice, reduced registration fees for NJSHA events, online CE webinars, the VOICES newsletter, an up-to-date website, email communication, professional networking and leadership opportunities, an online membership directory … just to name a few.

Thank you for being a NJSHA member and we look forward to another exciting year!

For Renewing Members:

If renewing prior to December 31, please log-in to renew your membership by clicking here.

If renewing after December 31, select "Renew" below and enter your membership number. If you do not know your membership number click here to obtain your number.

FYI: To select more than one entry in a drop down field, select the Ctrl and Shift buttons at the same time.

 

Select if this is a New Membership or
Renewal after December 31:
New: Renewal:
For renewals, enter your
NJSHA Membership Number:
Forgot your number, click here
CONTACT INFORMATION
First Name:
Last Name:
Street Address:
Apt./Suite:
City:
State:
Zip:
County:
Business Phone:
Home Phone:
Cell Phone:
Check one phone number that
will be your primary number for listings
in NJSHA Members Only Directory:
Do not publish my information in the online Membership Directory:
Email:
Please email me the VOICES:
PROFESSIONAL INFORMATION
Employer:
Position/Title:
Primary Work Setting:
Professional Affiliation:
Specialty Area - SLP:
Specialty Area - AUD:
Ages Served:
Bilingual Service Provider:
EDUCATION/LICENSURE/CERTIFICATION
Highest Degree:
ASHA Status:
New Jersey State License:
Certificates:
PUBLIC REFERRAL DIRECTORY
Include my information in the
Public Referral Directory:
Check one phone number that
will be displayed in
NJHSA's Public Directory:
GET INVOLVED WITH NJSHA
I am interested in the following committees:
AAC Membership
  Audiology Multicultural
  Continuing Education Private Practice
  Convention Public Relations
  Ethics School Affairs
  Healthcare Student Issues
  Media/Publications  
  Higher Education  
Membership Type and Payment
Regular Member
   
Associate Member
   
Student Free Member (First Year Only):
   
Student Member
For Student Members - University Attending:
   
Recent Graduate Member
   University Graduated From
   Graduation Date
 
Life Member
   

NSHA membership dues are not deductible as a charitable contribution for U.S. federal income tax purposes, but may be deductible as a business expense.  NSHA estimates that 30% of your dues are not deductible because of NJSHA’s lobbying activities on behalf of its members.