Registration to Join AP-LS

Please enter all required information below. AP-LS will not share or sell the personal information we collect during the registration and checkout process.
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Contact Information

Please enter your contact information.

First Name *

Last Name *

Affiliation *

Current school, affiliation, or employer

Address Line 1 *

Address Line 2

City *

State

(Not required for members living outside US or Canada)

Zip *

Enter your zip or postal code.

Country *

Email *

Please enter your e-mail address.

Phone

Enter your phone number.

Additional Information

Employment

If you are not a student, what is your employment status?

Student *

Are you currently a student?

Yes
No

Graduation Date *

When did you graduate (or do you expect to graduate) from graduate school?

APA Member *

Are you currently a member or affiliate of APA?

Yes
No

APA Member Number

If Yes, please enter your APA number

Highest Degree *

Please indicate the highest degree that you have obtained (foreign applicants please select the closest equivalent degree):

Discipline *

What is your major discipline?

Gender


Male
Female

Ethnicity


Caucasian
African-American / Black
Asian
Latino / Hispanic
Native American / Alaskan Indian
Pacific Islander
Other

Birth Year

In what year were you born?

Licensed *

Are you currently licensed?

Yes
No

APLS Prior *

Have you ever served on an AP-LS Committee (including the Executive Committee)?

Yes
No

Future Service *

AP-LS is often looking for members to serve on an AP-LS Committee or in an Executive Committee position. Would you like to be emailed when a service opportunity becomes available?

Yes
No

Receive Emails *

Do you wish to receive emails from AP-LS? Emails will include membership announcements, conference information, and calls for participation in research.

Yes
No

Account Information

Please enter your desired account information.

Username *

Password *

Repeat Password *

Repeat Password