Name

Home Address
FIRST COAST
City State Zip COUNSELING
Home Telephone Work Telephone MEMBERSHIP
Fax APPLICATION
School or Agency
Work Address
City State Zip
Email Address

FCCA’s preferred method of communication is electronic mail.

If you do not have an email account, where would you like
future communications sent? Home___ Work ___

Please check appropriate status:

College Student ___
Practicing Professional ___
Retired Professional ___

Mail completed applications (with check/money order

payable to First Coast Counseling Association) to:
Khristi Keefe
#3001
3rd Floor Guidance
or
Khristi Keefe
Duval County Public Schools
Guidance Services, 3rd Floor
1701 Prudential Drive MEMBERSHIP APPLICATION
Jacksonville, Florida 32207 2009-2010
 MEMBERSHIP
OPPORTUNITY
You are invited to join the
FIRST COAST COUNSELING
ASSOCIATION (FCCA)
If you are employed in the field of
guidance, counseling, or mental
health services, you are eligible to
become a member of the First Coast
Counseling Association (FCCA). Our
membership is made up of
professionals from public and private
schools, colleges and universities,
private practices, hospitals and local
agencies.
FCCA IS DEDICATED TO:
FCCA holds a minimum of
 Enhancing individual human
three meetings per year with
development in the counseling
discipline through meetings, programs of interest to
workshops, and conferences. counselors.
 Maintaining and improving
professional standards in the
field of counseling. Annual dues are $20.00
(regular membership) and
 Promoting sound counseling
practices in the best interests of $10.00 (college students).
the individual and society.
 Providing a forum for the
FCCA is a local chapter of the
discussion of ideas concerning
counseling issues and taking a Florida School Counseling
stand on these issues. Association (FSCA) and the
 Uniting in one organization, Florida Counseling
individuals who are actively Association (FCA), and is an
engaged or interested in
affiliate of the American
counseling work in the First
Coast area. Counseling Association (ACA).