Member Application

Contact Information

Educational Background

School 1

School 2

School 3

School 4

Present Employment

  Yes
  No
  Yes
  No
  Clinical
  Counseling
  Other

The statements on this application are true and accurate representations of my educational and professional activity.  I have met the educational requirements of the membership category for which I have applied.  My professional activities are in conformance with the APA’s Ethical Standards.

The member agrees to (a) abide by the terms of the Bylaws of LAMP, (b) abide by the policies set forth by the LAMP Board of Directors, and (c) not present himself or herself as a spokesperson for LAMP unless directed to do so by the LAMP President and/or Board of Directors.