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Membership Details

Membership Details*

Full Membership ($75)

Associate Membership ($20)

Required Documents

In order for your membership to be approved, a curriculum vitae which includes bibliography and evidence of research interest and competence must be included with the membership application. If you are applying as a Full Member you must also include 2 papers as well. Acceptable formats are .doc, .docx, .pdf. Browse to select the document from your computer's hard drive. Do not modify the path.

Sponsor

SPONSORS: This application must list one sponsor for associate application and two sponsors for full member application. The sponsors must be an Active Member of the Association in good standing in order to be approved for membership.

Sponsoring Member

Sponsoring Member Email

Sponsoring Member #2

Sponsoring Member #2 Email

Primary Details

Prefix*

First Name*

Preferred Name

Middle Name

Last Name*

Suffix

Designation* Press Ctrl key and click on designation to select multiple.

Race and Ethnicity

Display Name* Enter your full name as you would like it shown in communications from the Society.

Gender

Date of Birth

Academic Training

University*

Highest Degree *

Graduation Date *

Professional Details

Job Title

Profession

Affiliation*

Other Affiliation

Biography

Contact Information

Company/Univ.Name *

Country *

Street *

Street 2

Street 3

City *

County

State *

Postal Code*

Phone * Please include country code.

Mobile Please include country code.

Fax Please include country code.

Web Address

Login Details

Password* Password must be at least 6 characters long

Re-enter Password*

By submitting this membership request, you agree to receive SRP email correspondence. To opt out of receiving ALL SRP emails, please contact srpadmin@psychopathology.org.

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