SWISHA

Membership

SWISHA membership is available to licensed professionals with advanced degrees in speech-language pathology and audiology who work in public and private schools, area hosptials, rehabilitation facilities, nursing homes, and private practice who work or reside in the Illinois counties of St. Claire, Madison, Monroe, Randolph, Washington, Clinton, Bond, Macoupin, and Montgomery.

Apply Via Mail

To apply via mail, simply print and fill out this application, and then mail it in along with a check to cover all associated fees.

SWISHA Membership Application (Requires Adobe Reader).

Apply Online

To apply online, simply fill out the form below.

Membership Application

Basic Information -------------------------------------------------------------------
Name *
Address *
New Address
City *
State *
Zip Code *
Home Phone *
Work Phone *
Email *
Membership Type -------------------------------------------------------------------
Regular Member
Aud
Sp
Student Member
Aud
Sp
Associate Member
  Parent
  Administrator
  Educator
Background -------------------------------------------------------------------
Work Site *
Member Of
  ASHA
  AFT/IFT
  ISHA
  NEA/IEA
  NSSHLA
Last Degree Earned *
Do You Have CCC
SLP
A
Illinois Licensure
  SLP
  A
  Hearing Aid Dispensers
Other Information -------------------------------------------------------------------

Verification letters

At a cost of $2.00 per letter, do you need a letter stating your membership in SWISHA sent to your director/administrator? If yes, please include their contact information in the following text box.

Send Letters To
I am interested in the following topic(s):
I would like to recommend this person as a SWISHA meeting speaker
I am willing to help on the following committee(s)
  Scholarship
  Membership
  Public Relations
  Newsletter
  Nominations And Elections
  Program

South Western Illinois Speech, Language & Hearing Association

Navigation

Search

Meta

Apply Online