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Become a Member

Membership entitles you to:

Discounted Member rates for CIP seminars, classes, and study groups
Listing in the Annual Member Referrals Directory
Post announcements in “Member News & Notes”

Renewing your membership?

If you’ve already submitted an application, and just need to renew your membership, start by selecting the membership type you require.

Select Membership Type To Renew

New Membership Application Form

Submit a membership application and pay for your membership.
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Degree*
License Type*
License #*
Brief description of professional activity/affiliations/interests in psychotherapy for roster listing (20 words or less):*
Do you want the above information listed in our Annual Membership Roster (Must be received by September 15)?*
- Yes
- No
September-August Membership Fees:*
- $50 Regular Membership (Licensed Mental Health Professional)
- $30 Associate Membership (Unlicensed)
I am interested in learning more about CIP's committees:
- Professional Development Program Committee (generates and organizes the Seminars for Professionals and the Advanced Clinical Case Conferences; works with one Core Staff Member)
- Community Education Program Committee (generates and organizes educational materials and presentations for the community)
- Communications Committee (works on public relations, graphics, etc.)
- Event Planning Committee (helps with Annual Gala [participating on the Sponsor, Auction, or Food/Beverage Committees], Share Your Healing Story, and/or other events)
- Development Committee (helps with fundraising)
- Community Notes Newsletter Committee (writes and/or solicits one article for each quarterly issue)
- Alumni Committee (organizes alumni events, requests information for "Alumni Notes" in quarterly newsletter)
- I can't make a commitment, but I'd like to help when I can. Please call me if there's a need.

Renew Your Membership

Choose the membership type your require by selecting the corresponding Sign-Up button. Then click View Cart link that will appear and Checkout to complete your purchase. Please be sure to log into your existing account at checkout if you haven’t already done so.

Regular Membership

$50.00 for 1 yearSign Up Now

Associate Membership

$30.00 for 1 yearSign Up Now