top of page
Online Application: Full Membership

Have questions about this application? Please contact our Membership Chair, Sonja Seglin, LPC at 312-469-0398 to sonja@sonjaseglin.com

New Members and Renewing Members must complete the entire application in full.

*

*

*

*

*

Is your license active in NJ?

*

Are you licensed in any other states?

*

*

Retired

*

Student

*

Is your office wheelchair accessible?
Treatment Modalities

NJAWT publishes a member directory on its website accessible to members only through the members only portal.

Volunteer Opportunities and Suggestions

There are many ways that you can become more involved in NJAWT and we welcome your input.

Would you like to facilitate a presentation for the Membership? If, Yes our Events Chairperson will be in contact with you.
If you would like to volunteer on any of the following committees, please check below:
Please mark potential Support Groups in which you would like to PARTICIPATE
Please mark potential Support Groups in which you would like to be willing to function as a GROUP FACILITATOR
If you are a new member, please tell us how you learned about NJAWT:
bottom of page