Membership Applicationresultsbuilder2019-04-08T14:20:22+00:00 The Massachusetts Staffing Association’s mission is to promote and protect the interests of the Massachusetts staffing industry, its clients and its workers, across all sectors, through the promotion of high standards of legal, ethical and professional practices; education; and legislative advocacy. Membership Year: Sept. 1-Aug. 31 To be eligible for active membership in the Massachusetts Staffing Association, a firm must be operating on a for-profit basis as a separately identifiable entity that provides contract, contract to hire, or direct hire staffing services to third parties. Complete all pages of this application and return with your dues payment.Name of Company* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Fax*Contact Name* Contact Title* Email* Company Website* How did you hear about MSA?*In what year was the business established?* Number of branches in Massachusetts?* List branch locationsASA Member?* Yes No Business is* Local Company National Company If national, where is the corporate office*Type of Business*Please choose one...Temporary/ContractDirect HireOtherOwnership of Business*Please choose one...Sole ProprietorPartnershipFranchiseLLCPrivately Held CorpPublicly Held CorpOtherPlease select the committees you are willing to serve on:* Membership (assists with membership recruitment and services) Legislative (advises the membership of any pending legislation that would affect the industry) Programming (arranges program topics, speakers and events for members) Public Relations/Marketing (assists in press releases, marketing brochures) Industry/ Function Specialty Our staff will reach out to you upon receipt of your application to review the industries, specialties, and geography that your agency services. Calculation of Massachusetts Staffing Association Dues MSA dues are based on total number of in-house full-time employees in Massachusetts. To determine your dues for this year, find the category below that represents your total number of in-house full-time employees and pay the appropriate amount. This membership is effective thru Aug. 31. Membership in MSA requires that your company abide by the Code of Ethics and meet the registration requirements of doing business in Massachusetts.Number of Full-Time Employees in MA / Annual DuesPlease choose one...1: $122.502: $245.003: $368.004: $489.005: $615.006-15: $748.0016-25: $910.0026-35: $1,085.0036-45: $1,415.0046-55: $1,849.0056-75: $2,350.0076+: $3,095.00Date MM slash DD slash YYYY Signature*By signing, you signify that you agree to adhere to the Code of Ethics & Good Practices available at www.msastaffing.org. Our company has a current registration with the DLS.