Apply for NECCA Membership

Please answer all applicable questions, and be sure to check the certification at the end of the form. If you have trouble filling out or submitting this form, please contact us.

Thank you for applying to join NECCA!

Contact Information
Name of employer or associated organization
This email address will be displayed in your profile and made available to other NECCA members.
Home Information (Optional)
Company/Organization Information

Number of Employees:

Indicate number of employees by entering an exact figure or selecting a range.

Please enter only numerical characters - if you wish to indicate an approximate number, please choose a range below.
Company Law Department Information
Please check all that apply.
Personal Information
Year of graduation from law school.
Membership Eligibility
Please check the applicable box to certify that you are eligible to be a member of NECCA.
Format: 07/20/2017