DIVISION MEMBERSHIP APPLICATION FOR JANUARY-DECEMBER 2017

Use this form to join the divisions and sections listed below – division assessment rates can be found on the following pages of this form.Memberships are for January-December.Applications received in Augustand later will be applied to the nextmembershipyear.Do not send cash; do not fax or email credit card information!

Note: Not all divisions can be joined through this form. Some divisions handle their own membership – you can join those divisions by visiting the individual division’s website. See the following rate sheet for more information.

PLEASE TYPE OR PRINT CLEARLY – ESPECIALLY YOUR EMAIL.

Name:

Mailing address:

City, state, postal code, country:

Work phone: Home phone: Fax:

Email address:

APA membership number (if applicable):

Membership Category

If you have a membership in APA, join the division in that same category of membership (Member, Associate, Life Status, Student Affiliate, International Affiliate). If you do not belong to APA, join the division as a Student Affiliate if you are a student, International Affiliate if outside the US, or Professional Affiliate otherwise – as long as the division has the category. If the division does not have the International Affiliate category, join as a Professional Affiliate. See below for rates and details.

APA Member/Associate/FellowAPA Life Status Student Affiliate (APA or not)

International Affiliate (APA or not) Professional Affiliate (APA affiliate or not)

Divisions/Sections

Select division(s):

1235 7 810131516171819

20212224 25 2628303132343536

373840424344454647484950 51

 525556

Select section(s):

 22—Section 1 22—Section 2

 35—Section 1 35—Section 3 35—Section 435—Section 5 35—Section 6

 37—Section 1

PAYMENT

Please mail this form and your payment to the address at the bottom of this form. (We cannot accept forms with payment information via email

or fax.) Accepted forms of payment are as follows (please do not send cash).

  • Check (payable to APA DIVISIONS)
  • Credit Card (fill in the following)

Cardholder name (the name appearing on credit card):

Cardholder's billing address:

Credit card number:Expiration date:

Card type (only MasterCard, Visa, or American Express):

Daytime phone number and email address (if available):

Amount to be charged in US Dollars:Cardholder signature:

Questions? Call 202-336-6013 or email

Find more information on all APA divisions at

APA Division Services

750 First Street, NE

Washington, DC 20002-4242

Membership Rates for January 1, 2017

Division/
Section / APA Member/ Associate/Fellow / APA Life Status
Publication Fee / Student Affiliate / Professional Affiliate / International Affiliate
1. General / $25 (FIRST YEAR FREE, no journal) / $23.00 with jrl,
$0.00 without / $25 with jrl, $2.00 without (FIRST YEAR FREE, no journal) / $25 with jrl, $2.00 without (FIRST YEAR FREE, no journal) / Use Prof. Affil.
2. Teaching / $25 / $15 with jrl,
$0 without / $15 / $25 ($15 for RETIRED AFFIL) / Use Prof. Affil.
3. Experimental & Cognitive Science / $20 / $20 with newsletter,
$0 without / No Fee / $20 / Use Prof. Affil.
5. Quantitative and Qualitative Methods / $23 (or FIRST YEAR FREE) - add journal:
Psych Assess ($21) or
Psych Methods ($21) or
Qualitative ($21) / $0 - add journal:
Psych Assess ($21) or
Psych Methods ($21) or
Qualitative ($21) / $9 (or FIRST YEAR FREE) - add journal:
Psych Assess ($21) or
Psych Methods ($21) or
Qualitative ($21) / $21 (or FIRST YEAR FREE) - add journal:
Psych Assess ($21) or
Psych Methods ($21) or
Qualitative ($21) / $21 (or FIRST YEAR FREE) - add journal:
Psych Assess ($21) or
Psych Methods ($21) or Qualitative ($21)
6. Behavioral Neuroscience and Comparative / Join online at
7. Developmental / $24 (FIRST YEAR FREE) / No Fee / No Fee / $24 (FIRST YEAR FREE) / Use Prof. Affil.
8. Personality and Social / $2 / Free / $2 / $2 / Use Prof. Affil.
9. Study of Social Issues / Join online at
10. Aesthetics, Creativity Arts / $27 / $14.50 with jrl,
$0 without / $15 / $27 / Use Prof. Affil.
12. Clinical / Join online at
13. Consulting / $100 / $100 with jrl,
$0 without / $50 / $100 / $100
14. Industrial & Organizational / Join online at
15. Educational / $25 (FIRST YEAR FREE) / No Fee / $15 (FIRST YEAR FREE) / $35 (FIRST YEAR FREE) / Use Prof. Affil.
16. School / $45 (FIRST YEAR $20) / $30 with jrl,
$0 without / $20 (FIRST YEAR $5) / $55 (FIRST YEAR $20) / $5(First year and Renewing)
17. Counseling / $37 / $12 with jrl,
$0 without / $17 / $70 / $17
18. Public Service / $49 / $25 with jrl,
$0 without / $25 / $49 / Use Prof. Affil.
19. Military / $27 / $19 with jrl,
$0 without / $10 / $30 / $30
20. Adult Development & Aging / $20 / No Fee / $12 (FIRST YEAR FREE) / $20 / $20
21. Applied Experimental & Engineering / $32 / $17 with jrl,
$0 without / $17 / $32 / Use Prof. Affil.
22. Rehabilitation / $40 / $25.50 with jrl,
$0 without / $25 / $45 / $52
Division 22—1. Pediatric Rehab / $15 / No Fee / No Fee / $15 / $15
Division 22—2. Women in Rehab / $15 / No Fee / No Fee / $15 / $15
23. Consumer / Join online at
24. Theoretical & Philosophical / $35 / $23.50 with jrl,
$0 without / $11.00 / $35 / Use Prof. Affil.
25. Behavior Analysis / $25 / No Fee / $23 / $25 / Use Prof. Affil.
26. History / $40 / $27.15 with jrl,
$0 without / $32.15 / $40 / $40
27. Community Research & Action / Join online at
28.Psychopharmacology and Substance Abuse / $20 / No Fee / $9 / $20 / $20
29.Psychotherapy / Join online at
30. Hypnosis / $26 – add $55 for Psych of Consciousness Jrl / No fee – add $55 for Psych of Consciousness Jrl / $6 – add $55 for Psych of Consciousness Jrl / $26 for Div Mem (doctorate) or Div Assoc (master’s) – add $55 for Psych of Consciousness Jrl / Use Div Mem or Div Associate
31. State, Provincial and Territorial Associations / $43 (ECP $25) / $20 with newsletter,
$0 without / No fee / $10 / Use Prof. Affil.
32. Humanistic / $48 (1st yr $32) / $23 with jrl,
$0 without / $25 – paper & online jrl
$15 – online jrl only / $48 / $15 – online jrl only
33. Intellectual & Dev Disabilities/ Autism Spectrum Disorders / Join online at
34. Environmental, Population & Conservation / $25 / No Fee / $15 / $25 / Use Prof. Affil.
35. Women / $27 (FIRST YEAR FREE) / No Fee / $15 (FIRST YEAR FREE) / $25 (FIRST YEAR FREE) / Use Prof. Affil.
Division 35—1. Black Women / $10 (FIRST YEAR FREE) / No Fee / $5 (FIRST YEAR FREE) / $10 (FIRST YEAR FREE) / Use Prof. Affil.
Division 35—3. Hispanic Women / $10 (FIRST YEAR FREE) / No Fee / $5 (FIRST YEAR FREE) / $10 (FIRST YEAR FREE) / Use Prof. Affil.
Division 35—4. Lesbian/Bisexual/Transgender / $10 (FIRST YEAR FREE) / No Fee / $5 (FIRST YEAR FREE) / $10 (FIRST YEAR FREE) / Use Prof. Affil.
Division 35—5. Asian Pacific American Women / $10 (FIRST YEAR FREE) / No Fee / $5 (FIRST YEAR FREE) / $10 (FIRST YEAR FREE) / Use Prof. Affil.
Div 35—6. Alaska Native/American Indian/Indigenous Women / $10 (FIRST YEAR FREE) / No Fee / $5 (FIRST YEAR FREE) / $10 (FIRST YEAR FREE) / Use Prof. Affil.
36. Religion & Spirituality / $40 / $38.50 with jrl,
$0 without / $15 / $40 / Use Prof. Affil.
37. Child and Family Policy & Practice / $37 (if ECP, first year free) / $12 with newsletter,
$0 without / $17 (FIRST YEAR FREE) / $37 / Use Prof. Affil.
Div 37-1. Section on Child Maltreatment / $30 (if ECP, first year free) / No Fee / $20 (FIRST YEAR FREE) / $30 / Use Prof. Affil.
38. Health / $45 / $15 with jrl,
$0 without / $23 / $50.50 / $23
39. Psychoanalysis / Join online at
40. Clinical Neuropsychology / $34 / $5 with newsletter,
$0 without / $5 / $34 / $5
41. American Psychology Law Society / Join online at
42. Independent Practice / $65 (Associates Not Allowed) / $40 / $25 / $65 / Use Prof. Affil.
43. Couple & Family / $48 / $22.00 with jrl,
$0 without / $22 with journalor
$0 without journal / $48 / Use Prof. Affil.
44. Lesbian, Gay, Bisexual, and Transgender Issues / $50 / $27 with jrl,
$0 without / $25 with jrl,
$10 without / $50 / Use Prof. Affil.
45. Culture, Ethnicity and Race / $57 / $15 with jrl,
$0 without / $25 / $57 / Use Prof. Affil.
46. Media and Technology / $25 / No Fee / $15 / $25 / Use Prof. Affil.
47. Sport, Exercise & Performance / $39 / $24.50 with jrl,
$0 without / $20 / $39 / $39
48. Peace, Conflict, Violence / $42 (1st yr $25) / $15 with jrl,
$0 without / $15 / $42 (1st yr $25) / Use Prof. Affil.
49. Group Psych & Group Psychotherapy / $35 / $22.50 with jrl,
$0 without / $15 / $35.50 / Use Prof. Affil.
50. Addictions / $40 / $20.50 with jrl,
$0 without / $20 with jrl,
$10 without / $40 / Use Prof. Affil.
51. Men & Masculinity / $37(1st yr $25) / $17.00 with jrl,
$0 without / $25 with jrl,
$10 without / $35(1st yr $25) / $35(1st yr $25)
52. International / $46 / $12.50 with online jrl,
$0 without jrl / $25 with online jrl,
$15 without jrl / $38with online jrl,
$28 without jrl / $39
53. Clinical Child and Adolescent / Join online at
54. Pediatric / Join online at
55. Pharmacotherapy / $40 (FIRST YEAR $20) / No Fee / $10 / $40 / Use Prof. Affil.
56. Trauma / $45 ($23.50 for 1st yr ECP) / $23.50 with jrl,
$0 without / $33 with jrl (1st yr $23.50) OR $10 without journal (1st yr free) / $45 / Use Prof. Affil.