Membership Application

Please note that CCSPA membership renewals take place on July 1st each year, regardless of your original join date. New members must join by October 1st to be eligible for the CCSPA Big Sky Sport Psychology Conference.

Select Your Membership Level

Membership Application
Member Information
    Strength: Very Weak
    Professional Practice / Primary Address
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    Professional Experience
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    Note: In order to be approved at Level 1 or 2, you must be fully licensed within the next calendar year and send updated documentation at that time.
    Membership Directory
    If would like to be included in the directory, please provide the information below. This information will be displayed alongside your practice details in the directory.
    Membership Attachments
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    Please upload a current, high-resolution professional headshot.
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    Please upload a recent resume/CV if there has been significant changes to your training or work experience.
    Level 3s applicants must provide a letter from a current licensed professional providing sport psychology and mental health services to athletes stating that the professional in training is in formal training under that professional’s supervision in order to obtain a job in the future with elite athletes.
    Level 1 and 2 applications who do not currently have a formal relationship with an athletic department must provide supporting evidence that they are a preferred provider for mental health/sport psychology services for athletes (e.g., a letter from a senior administrator or sports medicine staff verifying status as a preferred provider, a statement from the director of the university counseling center indicating athletic department liaison).
    Payment Method
    Please mail checks to the following address:

    Tess Palmateer
    10580 SE Innovation Way
    Apt 203
    Port St. Lucie, FL 34987

    How would you like to pay?
    Payment Summary

    Your currently selected plan:
    Plan Amount: (annually)

    Final Payable Amount:
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