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* 1. Please complete the following:

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* 2. Please provide your address:

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* 4. Please provide your phone number:

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* 5. Are you currently a member of NCDA

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* 6. Do you currently hold an NCDA certification? If so, select all that apply:

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* 7. Do you currently hold a coaching credential? If so, which one?

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* 8. Please select your gender:

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* 9. Current Age

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* 10. Race/Ethnicity

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* 11. I am an individual with a disability:

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* 12. Have you participated in a NCDA JTA study in the past?

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* 13. Have you served on a NCDA committee in the past?

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* 14. Indicate the highest level of education you have completed (select one)

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* 15. Total number of years of experience in career development:

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* 16. Total number of years of experience in coaching:

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* 17. Are you a (select one):

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* 20. Are you able to attend all sessions of the 2026 JTA virtual meetings as scheduled below?

April 16th & 17th, 2026
9:00 AM – 5:00 PM EST

April 18th, 2026
9:00 AM - 1:00 PM EST

Please click HERE to upload your resume/CV:

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