SCAPA MEMBERSHIP (NEW)

$40.00

NEW MEMBER APPLICATION

This form is for NEW MEMBERS ONLY.
If you are an existing SCAPA member, please use the Membership Renewal Form.

SCAPA memberships belong to the individual and are non-transferable. Your membership moves with you if you change employers or facilities and does not remain with your facility.

For this reason, please provide YOUR PERSONAL contact information where requested, including your personal email, phone number, and home mailing address — not your facility’s contact information.

Certification is NOT required to become a member of SCAPA.

SCAPA Tax ID #: 58-2282268

Please retain a copy of this form for your records.

NEW MEMBER APPLICATION

This form is for NEW MEMBERS ONLY.
If you are an existing SCAPA member, please use the Membership Renewal Form.

SCAPA memberships belong to the individual and are non-transferable. Your membership moves with you if you change employers or facilities and does not remain with your facility.

For this reason, please provide YOUR PERSONAL contact information where requested, including your personal email, phone number, and home mailing address — not your facility’s contact information.

Certification is NOT required to become a member of SCAPA.

SCAPA Tax ID #: 58-2282268

Please retain a copy of this form for your records.