2023 Membership Renewal

Complete the form below to renew your ATSA membership for 2023.

The form below requires a credit or debit card to complete your renewal (Visa, MasterCard, American Express or Discover). If you prefer to use a check or money order, or to submit an invoice to your employer, please download the printable renewal form instead of using the online form below.

If you are currently a Student Member and need to upgrade your membership, please complete the Membership Upgrade form, so we can update your category before you renew.

Are you a part of an ATSA Chapter? Remember to renew your chapter membership too! Find your chapter's website here to renew directly with them. 

Donate to help our Public Policy and Prevention Efforts. Read about the work your donation will support. If you prefer not to donate at this time, select "No Thank You" below.

 

 
Please login if you do not see any membership options listed. (Please note that you will not be able to submit the renewal form without logging in first.)
 
 
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Terms of Membership
  • I agree to support the objectives of the Association and to read and abide by the provisions of the ATSA Practice Guidelines and Professional Code of Ethics, which may include having my name published in the Forum newsletter in the event of an ethical sanction against me by the ATSA ethics committee.
  • I understand that if I am found responsible and/or sanctioned for an ethical violation, subject to disciplinary action by a professional licensing board, or am denied membership in or terminated from a professional organization, I must fax or email information pertaining to these events to ATSA within two weeks or I risk my membership being denied or revoked.
  • I understand that any false, inaccurate or misleading information, including omissions provided on this form may result in my membership being denied or revoked.
  • I agree that I will not forward or share ATSA List Serve emails outside of subscribed ATSA membership.  Failure to abide by the ATSA List Serve Terms of Usage may result in removal from the List Serve and/or ATSA Membership.

By renewing my membership I agree to the above noted statements and affirm that all of the information I am providing is true, accurate and complete.

 
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Member Profile Update


RACE and ETHNICITY
Reasons for collecting information on race and ethnicity: Race and ethnicity information is now being asked because we believe collecting this demographic data helps identify needed improvements to the diversification of our membership and associated benefits. It is also a way to be able to strengthen our ability to provide services to clients of all ethnic and racial communities. Our selections are based on the 2020 US Census Race/Ethnicity guidelines here and here.

PROFESSIONAL INFORMATION
If you have your student verification handy, please upload it here. We will accept an unofficial transcript, or a letter from your registrar your academic supervisor verifying at least half-time student status.

Professional Address
If you would like to list a mobile number that is only viewable by ATSA staff, include it here.
To sign up for the ATSAlist email discussion group, or to update your ATSAlist email preferences, visit the ATSAlist page for more information. (opens in a new window)


MAILING INFORMATION (private)

If analogous organizations and/or individuals involved in research endeavors request the ATSA mailing list, I consent to have my name, mailing address and/or email included on that list:
 


REFERRAL INFORMATION
Please indicate if you are available for referrals from the ATSA office:
 

The affiliation you choose below will be used when ATSA provides referrals.
(This information should match with the agency you indicated in the professional information section.)
 
(if not in list above)

Enter any notes to include in your record here. (viewable by ATSA staff only)

Clicking the 'Submit' button will send your 2023 renewal to the ATSA Office.