ATSA Membership Application

Thank you for your interest in becoming a member of The Association for the Treatment and Prevention of Sexual Abuse. The online membership application is below. If you prefer to complete the application offline or print and complete it by hand, please download the Word Document application.

Contact membership@atsa.com if you have questions about the application process. If you have not read them yet, please review the ATSA Membership Benefits and Requirements.

We look forward to welcoming you as a member of ATSA!

Dear Colleague:

The Association for the Treatment and Prevention of Sexual Abuse (ATSA) is a non-profit, interdisciplinary organization incorporated in 1984 to foster research, develop guidelines for practice, facilitate information exchange, further professional education, and provide for the advancement of professional standards and practices in the field of sexual offender evaluation and treatment. The organization currently has over twenty-eight hundred members from all fifty states, Canada, several territories, and other countries.

The benefits of ATSA membership include ATSA’s quarterly newsletter, The Forum, a subscription to ATSA’s official journal, Sexual Abuse, and involvement in ATSA’s electronic discussion group used for clinical consultation, questions/answers, and networking purposes. Further, ATSA members receive registration discounts for the Annual Research and Treatment Conference and ATSA Master Classes.

In addition, we encourage ATSA members to take part in any of the standing or ad hoc committees. ATSA membership ensures your participation in a growing international network of professionals who, like yourself, are dedicated to advancing knowledge and improving professional practice in the field of sexual abuse.

By joining ATSA, you automatically become eligible to join your local ATSA Chapter. As a member of an ATSA Chapter, you can participate in committees at the local level and interact with other professionals throughout your region.

If you have any questions about ATSA or our membership application process, please do not hesitate to email membership@atsa.com or call us at 503-643-1023.

ATSA has several membership classifications available, please read the descriptions of these membership levels and choose the appropriate category below.

MEMBER

ATSA Member: A person who provides clinical services to, or conducts research, prevention, or program management of, individuals who have engaged in or are at risk of sexual offending. No degree or hour requirements. Examples include: Psychologists, therapists, social workers, medical practitioners, academics, researchers, program administrators, and others with similar duties.

CLINICAL MEMBER

ATSA Clinical Member: An enhanced membership category for those with at least a master’s degree who have (1) conducted 2,000 hours or more of direct clinical services (assessment, individual and/or group treatment) to individuals who have engaged in sexual offending behavior and (2) are dedicated to pursuing a certain amount of continuing education units (CEUs) annually. While not a form of certification, it officially documents one’s ongoing training hours and provides evidence for employers who require continuing education. Additional nominal fees will apply in 2023 due to the administrative costs to verify CEU’s.

ASSOCIATE MEMBER

ATSA Associate Member: A person who is currently working on a full-time basis for at least 40 hours per week either in a related area (such as the treatment of sexually abused children, adult victim/survivors of sexual abuse, or non-offending spouses) or in a non-clinical capacity such as the criminal justice system. Individuals involved in clinical practice, providing assessment and treatment services, and/or those individuals involved in conducting research related to sexually offending behavior, who qualify for other member categories, are not eligible for membership in the affiliate category.
*Associate members do not receive the journal or the listserv

ATSA membership follows the calendar year from January to December. Dues are collected annually, are not pro-rated, and should be received in the ATSA office by January 31st each year.

[NOTICE] Please note that you have 30 minutes to complete this form before it times out.

Membership *

ATSA Member - $ 200.00

ATSA Clinical Member - $ 225.00

Associate Member - $ 35.00

Additional *

Application Fee - $ 35.00

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Total Amount

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ATSA Application

Were you referred to ATSA by another member?
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Referred By:

1. CONTACT INFORMATION

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Your primary email address will be visible to other ATSA Members in the member directory.

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2. PROFESSIONAL INFORMATION
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Professional Address Line 1 *

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4. LICENSE/CERTIFICATION INFORMATION
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Licenses

Professional Registrations

Certifications

If your Board (or other regulatory body) has online verification, no action is required on your part. However, if verification for your license is not available online, you must request verification from your Board to be sent to ATSA.

5. EDUCATION INFORMATION
Enter your higher education information below, beginning with the most recent.

University/ College 1 *

Degree Earned *

Dates Attended *

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, convicted or plead guilty to a felony, I must notify ATSA within two weeks or I risk my membership being denied or revoked. I also 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.

I agree to the ATSA Membership Terms *

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Date Submitted *

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Click on the 'Contribute' button above to submit your application to the ATSA Office.

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ATSA membership follows the calendar year from January to December. Dues are collected annually, are not pro-rated, and should be received in the ATSA office by January 31st each year.