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Member application form

A Message from the AFTA Membership Chair:

Below you will find the application and recommendation forms for membership in AFTA. Please carefully review the Membership Criteria and select your references accordingly. It will be your responsibility to contact the people you wish to serve as your references and provide them with the enclosed recommendation forms. People providing references should return them directly to AFTA's Central Office.

Occasionally, in the face of extraordinary contributions, AFTA waives some of the usual requirements. If you feel you should be considered for such a review, please make a note to that effect on your application form.

NOTE: The application question about minority group status is asked to ensure the inclusion of underrepresented minorities.

Phone numbers

For each location of study - please list the following: 1) Academic institution name 2) Dates attended 3) Degree/date granted 4) Area of specialty

Optional information

Note: This question is asked to ensure the inclusion of underrepresented minorities.

MEMBER AND EARLY MEMBER FORMS
MEMBER CRITERIA *

Members are expected to hold terminal professional degree in a health or mental health related field (subject to evaluation by the membership committee) or an advanced degree in one of the social or behavior sciences and demonstrate contributions in at least one of the following:
* Any of the formal requirements may be waived by the Board of Directors for equivalent experience and training.

Please provide the name and relationship of three recommenders:
At least one must be from an AFTA Member. Two must be from supervisors or people who have direct knowledge of your qualifications for membership.

It is your responsibility to contact recommenders and ask them to submit a recommendation online.

EARLY CAREER MEMBER CRITERIA *

* Any of the formal requirements may be waived by the Board of Directors for equivalent experience and training.

(Name and email address)

Please provide the name and relationship of three recommenders:
At least one must be from an AFTA Member, most commonly the person who nominated you. Two must be from supervisors or people who have direct knowledge of your qualifications for membership and potential to contribute to the field.

It is your responsibility to contact recommenders and ask them to submit a recommendation online.

Suspension, termination, or conviction

Have you ever (1) had your registration, certificate, or license to practice suspended or revoked, (2) been terminated from membership in a professional mental health organization, or (3) been convicted of a felony arising out of professional activity or activities otherwise relevant to your professional qualifications or ethics?

STUDENT MEMBER (PILOT PROJECT) CRITERIA *

(Name and email address)