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Membership Application
You can fill out the membership application and submit it online. If you prefer not to use the online option, please enter the requested information, print, and mail it in with a check or money order in order for your membership to be activitated.

Division of Psychoanalysis
2615 Amesbury Road
Winston Salem, NC 27103
Phone: 336-768-1113
Fax: 336-768-4445

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Member ($95.00)
Psychologists who are Fellows, Members or Associates of the APA are eligible to become Members of Division 39, as are doctoral level licensed psychologists who are ineligible to join the APA due to APA restrictions on program accreditation. Non-psychologist holders of graduate degrees who are licensed or certified in a mental health discipline are also eligible to become Members of Division 39.

Affiliate ($95.00)
International members of the APA and psychologists who do not belong to APA are eligible to become Affiliate Members of Division 39. Other individuals who have demonstrated an interest in psychoanalysis through academic training, institute training, continuing education, writing or related study are also eligible to become Affiliate Members.

Student ($25.00)
Undergraduate and graduate students interested in psychoanalysis are eligible to become Student members of Division 39.

$95.00 Member - APA #

$95.00 Member (other mental health professional)

$95.00 Affiliate

$25.00 Student

IMPORTANT: Unless declined below, your contact information will be published in the Division 39 electronic directory.
NO, do not publish my information in the Division 39 electronic directory.

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