International Neuropsychological Society
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Membership Application Form

Please complete the following membership application. After you have submitted your application, you will be placed in pending status while the INS reviews your application. Once your application has been processed, you will receive email notification regarding your acceptance into the Society. The email will include information on paying your initial membership dues, which must be paid in order to activate your membership.

Important: Please be sure your email address is entered correctly.

*Required fields are in red.

Complete the Application

Login Credentials

Primary Contact

Your information will be included in the INS Member Directory unless you select "No" below.

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Professional Info

Membership Type*

Eligibility: Includes qualifications (degrees, certifications, or other requirements) consonant with the profession in the country of origin; and a significant proportion of activities devoted to neuropsychology or closely related fields. Applicants who have completed their training will be considered for this category of membership only. Regular members shall have the power to vote in Society elections and to hold office.

Eligibility: Includes current enrollment in an academic program (undergraduate or graduate), or in an internship program, postdoctoral training program, or residency program. Associate members shall not have the power to vote in Society elections and may not hold office in the Society. Associate members must provide verification of their training status from their academic program director. Please email the letter to or mail it to the INS office at the address listed below.

International Neuropsychological Society
• 2319 South Foothill Drive, Suite 260, Salt Lake City, Utah 84109, USA • 801-487-0475 •