Member Application

//Member Application
Member Application 2017-08-30T23:19:52+00:00

Member Application





Primary Contact Info

Mailing Address (if different from above)


Professional Info

Professional Organizations of which you are a member

Curriculum Vitae

Select the type of membership you are applying for

Associate

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 INS@utah.edu or mail it to the INS office at the address listed below.

Member

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.