Bergen County School Counselor Association Membership Form 2026-2027
To activate your BCSCA membership for the 2026-2027 school year, please complete this form and ensure your annual dues are paid in full.  Instructions for payments are included in this form. Counselors whose districts pay membership dues should register individually with this form, and indicate the intended purchase order payment in the payment options.

Active membership entitles you to attend our meetings, make annual award nominations, allows the students on your caseload to apply for the BCSCA scholarships, and receive retirement recognition. 

If you have any questions 
  • regarding membership, please contact bergencountyschoolcounselors@gmail.com
  • regarding dues payment or invoicing, contact at santander323@icloud.com
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Email *
Email address at which you would like to receive meeting invitations, membership notifications and other BCSCA information [This can be your personal or work email but must be an email address that you check regularly and that reliably receives messages from outside Gmail accounts]: *
LAST Name *
FIRST Name *
Name of District/Institution where you are/were employed. *
Name of your School or Organization. *
Please read all options to select your current employment status (your specific status will guide you in selecting your proper membership category in the next question): *
I am registering as (please carefully read membership category descriptions ABOVE before choosing):
 *
My dues will be (select ONE below): *
Scan here to send your dues via Zelle.
School/Work email address (if retired, please type "n/a")  [PLEASE NOTE that BCSCA notifications will NOT be sent to this address unless specifically requested in the first question. GRAD STUDENTS, you MUST use your college/university email here.] *
Years as a School Counselor (or other position listed above) *
Please indicate the level(s) at which you currently work.  

If retired, please check "retired" as well as the level(s) at which you previously worked.
 *
Required
Pronouns (optional)
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PERSONAL cell phone number (optional)
Is this your first time joining BCSCA? *
Are you interested in volunteering with BCSCA on the Executive Committee or as other opportunities arise?
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Please list any professional development that you would be interested in hearing (if you also have contacts for PD please share)
Please share any other thoughts, questions, comments, ideas for meetings, etc. that you may have:
A copy of your responses will be emailed to the address you provided.
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