Complete Membership Application

First Name (required)

Last Name (required)

Street Address (required)

City, State, Zip (required)

Country (required)

Your Degree (required)

State You Are Licensed In (required - not licensed, enter "none")

Your APA Status (required)
 Member Fellow Associate Student Non-APA Member Psychologist Affiliate

Your APA Membership # (required - enter "0" if you are not yet a member)

Your Email (required)

Telephone (required)

Comments or Questions?



Complete Payment

Membership Dues

Your Email Address :


Member, Fellow, Associate, Student, or Non-APA Member Psychologist Affiliate: $40 per year.

Student: $20.00 per year.

Membership includes a subscription to the Psychotherapy Bulletin; to the Division’s journal, Psychotherapy; and access to the Division E-mail list-serve.


Prefer to join by mail?  Download the Member Application or Student Member Application.