Student Membership Application

Thank you for your interest in Division 29! Our offer of 500 free student memberships for 2014 is now closed, as we have reached our maximum limit. We would still love to welcome you to the Division though! To complete membership registration, please fill out both Step One and Step Two below. Student dues are $20 annually – a wonderful deal for all the excellent benefits you will receive.


STEP ONE:

Complete Membership Application

The minimum qualifications for election to the category of Student Affiliate shall be enrollment in at least one of the following:

  • In an graduate college/university program which is offered in a department of psychology
  • In a graduate program which includes training in psychotherapy and which is offered in a department of psychology or in a department which is primarily psychological in nature
  • In a school of professional psychology situated in an institution of higher learning which is regionally accredited
  • In a regionally accredited free standing school of professional psychology

By checking this box, you agree you meet the above qualifications.

First Name (required)

Last Name (required)

Street Address (required)

City, State, Zip (required)

Country (required)

Required Fields: Your Educational Affiliation at Time of This Application:

Your Current School

Your Department

Your Program

Your Highest Degree Earned

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?

If you prefer to process your membership by mail, please download and print the Member Brochure or the Student Member Brochure

STEP TWO:

Complete Payment

Membership Dues



Your Email Address :



DUES:

Fellow, Member, or Associate: $40 per year.

Student: $20.00 per year.

Membership includes a subscription to the Psychotherapy Bulletin, to the Division’s journal, Psychotherapy: Theory, Research, Practice and Training, and access to the Division E-mail list-serve.