Complete the form below to renew your ATSA membership for 2017.

The form below requires a debit or credit card to complete your renewal. If you prefer to use a check or money order, or to submit an invoice to your employer, please download hard copy renewal forms instead of using the 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.


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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.)
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 charged with a felony, am accused, investigated, and/or involved in unprofessional or unethical conduct, or am denied membership in or terminated from a professional organization, I must fax or email information pertaining to the allegations and/or investigations to ATSA within two weeks of the event, 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.

 
Press 'clear' and then select today's date.
Credit Card Information
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Billing Name and Address
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Member Profile Update



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.
For ATSAlist listerve preferences, email your request directly to Jacqueline Nguyen at Jacqueline@atsa.com. Please specify if you would prefer to receive individual postings, or the compilation "digest" version of the ATSAlist.



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)