This form is used to upgrade your ATSA membership. Please read the list of ATSA membership category descriptions and select the most appropriate upgrade 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 check the reason(s) for your upgrade.
 

If you are upgrading due to receiving an advanced degree, upload your transcript here.
If you do not have your transcript handy at the moment, you can email a copy to sarah@atsa.com or fax it to (503) 643-5084 at a more convenient time.

Select the membership category you would like to upgrade to.
Degree or license you would like to appear after your name


PROFESSIONAL ADDRESS


Please read the following statements:

  • I have not been charged with a felony during the last year.
  • I have not been accused, investigated, and/or involved in unprofessional or unethical conduct during the last year.
  • I have not been denied membership in or been terminated from a professional organization during the last year.
  • If any of the above statements are not true, I agree to fax or email information pertaining to the allegations and/or investigations from the past year to ATSA within two weeks of submitting my renewal.
  • Any false, inaccurate or misleading information, including omissions provided on this form may result in my membership being denied or revoked.
  • I agree to support the objectives of the Association and to read and abide by the provisions of the ATSA Standards and 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 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 checking "Yes" I agree to the above noted statements and affirm that all of the information I am providing is accurate and complete.

 
*If you answer "no" above, email a full explanation to Kelly McGrath at kelly@atsa.com.



Do you have any additional notes or comments to include?