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

Contact membership@atsa.com if you have questions about the application process, or call the office at (503) 643-1023.

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 of Sexual Abusers (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: A Journal of Research and Treatment, 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.

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.

We are pleased that you have taken an interest in applying for membership in the Association for the Treatment of Sexual Abusers and invite you to become a member.

If you have any questions about the organization or the application process, please do not hesitate to call the ATSA office for additional information.



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

MEMBER

1) Clinical Member: A person who holds a Master’s Degree or above in the Behavioral or Social Sciences and has engaged in a minimum of 2000 hours providing direct clinical services (assessment, individual and/or group treatment) to individuals who have engaged in sexual offending behavior.

2) Research Member: A person who holds a Master’s Degree or above in the Behavioral or Social Sciences and has engaged in a minimum of 2000 hours of conducting research specific to investigating issues related to sexual offending behavior.

3) Research and Clinical Member: A person who holds a Master’s Degree or above in the Behavioral or Social Sciences and has engaged in a minimum of 2000 hours of conducting research specific to investigating issues related to sexual offending behavior and 2000 hours providing direct clinical services to individuals who have engaged in sexual offending behavior.

4) Professional Member: A person who has engaged in a minimum of 2000 hours of work specifically related to sexual abuse prevention or to the management of individuals who have engaged in sexual offending behavior.

ASSOCIATE MEMBER

1) Clinical Associate Member: (i) A person who holds a Master’s Degree or above in the Behavioral or Social Sciences and has engaged for less than 2000 hours in direct behavioral research of sexual offending behavior and/or has provided direct clinical services to individuals who have engaged in sexual offending behavior ; or (ii) a person who has a Bachelors Degree or equivalent in the Behavioral or Social Sciences and has engaged in direct research of and/or provided direct clinical services to individuals who have engaged in sexual offending behavior; or (iii) a person who is employed on a full time basis of at least 40 hours per week in a position that provides direct clinical services to individuals who have engaged in sexual offending behavior.

2) Research Associate Member: A person who has engaged in research on sexual offending behavior, but has done so for less than 2000 hours.

AFFILIATE MEMBER

Affiliate 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 the associate or member categories, are not eligible for membership in the affiliate category.
*Affiliate members do not receive the journal or the listserv and are not eligible for committee participation.

STUDENT MEMBER

Student Member: A person who is currently registered at least as a half-time student, enrolled in a program pursuing an advanced degree, or its equivalent, in an accredited college or university in pursuit of a career related to the study or treatment of sexually offending behavior. Verification is required from the school in which the student is enrolled at least as a half-time student studying a curriculum designed for earning an advanced degree.

 

Please enter a Username to create an account. If you already have an account please login before completing this form.
ATSA Application
Were you referred to ATSA by another member?
Enter the name of the member who referred you.

Select the most appropriate membership category.  Categories are described above.


1. CONTACT INFORMATION
Enter your degree and/or license abbreviation, as you would like it to appear after your name in correspondence. (e.g., Ph.D., M.S.W., LPC)
  

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



2. PROFESSIONAL INFORMATION
Include your organization or agency name



3. MAILING INFORMATION
Enter your mailing information below. Mailing information is kept private.

If analogous organizations and/or individuals involved in research endeavors request the ATSA mailing list, do you consent to have your name, mailing address and/or email included on that list?
 



4. LICENSE/CERTIFICATION INFORMATION
List all current licenses, certifications and/or registrations below, including the state or province abbreviation for each listing.
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.

Students: Upload your current university transcript or other student verification document here. Verification must confirm at least half-time student status, or current enrollment in a graduate or doctoral program.
If student status verification is included in the student reference letter, separate verification is not required.
Alternatively, email verification to membership@atsa.com or fax to (503) 643-5084.



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







6. CRIMINAL/ETHICAL INFORMATION

Have you ever been charged with a felony?
 
* If you have been convicted of, or plead guilty to a felony or misdemeanor sex offense or other violent, felony crime against persons, you are not eligible for membership in ATSA.

If you answered yes to 6a, include an explanation below.
Upload documentation for 6a here.
Or email documentation to membership@atsa.com


Have you ever been accused, investigated, and/or involved in unprofessional or unethical conduct?
 

If you answered yes to 6b, include an explanation below.
Upload documentation for 6b here.
Or email documentation to membership@atsa.com


Have you ever been denied membership in or been terminated from a professional organization?
 

If you answered yes to 6c, include an explanation below.
Upload documentation for 6c here.
Or email documentation to membership@atsa.com



7. PROFESSIONAL EXPERIENCE
Enter a brief job description below.

Enter the total number of hours in research and/or direct assessment/treatment with sexual abusers during the employment dates indicated above. If applying for the Professional Member category, include hours spent directly managing sexual abusers.


Enter a brief job description below.

Enter the total number of hours in research and/or direct assessment/treatment with sexual abusers during the employment dates indicated above. If applying for the Professional Member category, include hours spent directly managing sexual abusers.


Enter a brief job description below.

Enter the total number of hours in research and/or direct assessment/treatment with sexual abusers during the employment dates indicated above. If applying for the Professional Member category, include hours spent directly managing sexual abusers.


Enter the sum of hours from the 3 employment positions above for the Grand Total.



8. REFERENCES

If you are licensed or certified, we must verify all current licenses, certifications, and/or registrations. If your Board offers online verification, we will obtain the verification and no further action is required on your part. However, if you Board does not offer online verification, you must provide verification from your Board to ATSA.

If you are not professionally licensed, you must submit one letter of reference from a supervisor or colleague who is familiar with your professional work and ethical qualifications.

Please list the information of either your licensing board or your reference provider below.




Below is a list of information the Membership Committee would like included in the reference letter. Please forward this list to your reference provider when requesting the reference letter, or refer them to the online reference form at www.atsa.com/Reference.

  1. How long have you known the applicant and in what capacity?
  2. Observations of the applicant’s work with sexual offenders.
  3. Specific job duties performed by the applicant (including treatment philosophy, techniques).
  4. Positive contributions to the field of sexual violence.
  5. Does the applicant demonstrate ethical integrity in professional and personal behavior?
  6. To the best of your knowledge has the applicant ever been accused, investigated, and/or involved in unprofessional, illegal, or unethical conduct?
  7. In your opinion, is the applicant qualified by professional and ethical standards to be a member of ATSA?

If you are applying for Student membership, request a reference letter from your academic or field supervisor. Information contained in that letter should address the specifics of your work and interest in the sexual offender field.

If you already have your reference letter, you can upload reference documents below, email them to membership@atsa.com, or fax to (503) 643-5084.

Include below any notes you would like reviewed with your application.



ATSA MEMBERSHIP TERMS
  • I understand that The ATSA Board of Directors shall establish minimum requirements for membership.
  • I understand that The ATSA Board of Directors shall review applicants and may, in its sole discretion, approve or reject an applicant.
  • 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 to receive electronic mail from ATSA including: Member Update, The Forum and other notices.
  • I agree that if I am charged with a felony, accused, investigated, and/or involved in unprofessional or unethical conduct, or denied membership in or am terminated from a professional organization, I will fax or email notification to ATSA within two weeks.
  • 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.
  • By checking Yes below and submitting this form, I agree to the above terms and I attest that all of the information that I am providing is true, accurate and complete.
 
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