Retired KAPS Member (Recurring)

RETIRED MEMBERSHIP INFORMATION

Associate Member – $18.75 (USD)
Subscription period: Annually on: July 1st – Recurs Annually automatically to your credit/debit card.
Recurring: Automatically recurring payments that will charge your credit/debit card via Paypal.
Type: Retired school psychologist or related professional.

BENEFITS OF KAPS MEMBERSHIP

Just some of the benefits of your membership include:

A government/political relations advocate for school psychology;
A professional listserv for Kentucky school psychologists;
A professional website with up-to-date information on trainings, current issues, and resources;
A professional state conference with discounted rates for members;
An official KAPS school psychologist directory;
Regional KAPS trainings and events;
Ethical advisement through the KAPS ethics chair; and
KAPS representatives in various organizations advocating for school psychology inclusion and consideration in state programs and initiatives.

KAPS MEMBERSHIP APPLICATION

Terms:

$18.75 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Email:* Email is Required

Phone:* Phone is Required

School District:* School District is Required

Position / Title:* Position / Title is Required

Birthday: Birthday is not valid

Degree:* Degree is Required

E.G. Ed.S. Psy.S. Ed.D. Ph.D. M.A. M.S./M.Ed

If Student, which university did you attend: If Student, which university did you attend is not valid

Eastern KY University Murray State University University of KY Western KY University Other Not Student

*If Student, please indicate your year in the program: *If Student, please indicate your year in the program is not valid

Undergraduate 1st Year Graduate 2nd Year Graduate Intern Doctoral Candidate Not Student

NCSP Status: NCSP Status is not valid

Yes No

Current Memberships in Other Organizations:* Current Memberships in Other Organizations is Required

APA KASA KPA NASP None Other

Which areas would you consider yourself a resource?: Which areas would you consider yourself a resource? is not valid

ADHD Autism Spectrum Disorder ESL / ELL Emotional Behavioral Disability Hearing Impairments PBIS Response to Intervention Visual Impairments

Affirmation (All boxes must be checked for approval):* Affirmation (All boxes must be checked for approval) is Required

I verify that the information on this application is true and accurate. I meet the eligibility requirements for the membership category checked. I will abide by NASP's Principles for Professional Ethics. I agree to submit to NASP's procedures for adjudicating alleged NASP ethics violations.

How are you paying for your membership:* How are you paying for your membership is Required

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Check / PO

1. Send payment to: P.O. Box 22864, Lexington KY 40522
2. Email: Our Treasurer at treasurer@kapsonline.org if you need an invoice sent.

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