Apply for Membership

*Note* If something doesn't apply to you, please select or write "N/A"

* Indicates a Required Field

Profile Information
*first name
middle name
*last name
Professional History
*University or Employment Organization
*Years as Full-time Coach
*football conference
*football division
*basketball conference
*basketball division
other conference
other division
Phone and Mail
*address location
*street 1
street 2
*phone (cell)
Payment Information
*Preferred Payment Method
*membership status intent Membership is no longer required to participate in CSCCa events and services; however, CSCCa members receive discounted pricing and other benefits.
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Membership Dues:
Full-time Membership Dues Per Year: $110
Student/Emeritus Membership Dues Per Year: $55

**Once you select ‘Submit,’ a copy of this form will be sent to your email and you will be directed to the payment page**