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Community Institute for Psychotherapy

CIP brings healing and hope for a better tomorrow.

Community Institute
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Home
About
Become A Client
- Become A Client
What We Offer
Professional Development & Internships
Events
Support CIP
Contact Us
- Contact Us
- Personnel Directory

Home
About
Become A Client
- Become A Client
What We Offer
Professional Development & Internships
Events
Support CIP
Contact Us
- Contact Us
- Personnel Directory

You are here:

Home
Professional Development & Internships
Become a Member

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”

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.

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