Membership Application

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Select Your Payment Cycle
Membership Application
Member Information
    Strength: Very Weak
    Professional Practice / Primary Address
    *
    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
    Please upload a current, high-resolution professional headshot.
    Please upload a recent resume/CV if there has been significant changes to your training or work experience.
    The Level 3 applicant 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.
    Payment Method
    Please mail checks to the following address:

    848 Broken Sound Pkwy NW
    Apt 109
    Boca Raton,  FL  33487
    United States of America
    How would you like to pay?
    Payment Summary

    Your currently selected plan:
    Plan Amount: (annually)

    Final Payable Amount:
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