Membership Application - AACP — American Association for Community Psychiatry

AACP Member Application

AACP is a national network of community psychiatrists and allied mental health professionals and peers committed to promoting health, recovery and resilience in people, families and communities.

Please complete the following form to confirm your membership to the AACP.

Name

First Name

Last Name

Phone

(###)

###

####

In what setting do you currently work/practice?

What is your profession?

What kinds of resources, skills and/or supports are you interested in receiving through the AACP?

Are you a new or returning member to the AACP? *

What is the number of years you have been out of training?

*** For Members in Training: Please indicate your training level ***

Please share the name of your training program

Would you like for the AACP to use some of the information in this form to create a Member Directory entry for you? This directory will only be accessible by fellow AACP members only. You will be able to update your directory entry in the member portal at any time.

Yes