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To register online, please complete the online form below.
If you prefer a paper copy, please click
here
to download our
application form and follow the instructions.
New Online Member Registration
We are pleased to welcome you to the Atlantic Provinces Association of Behaviour Analysis (APABA) and look forward to your participation in our activities. Please complete the following online form. Our membership committee will review it and provide you with feedback as soon as possible. We are an affiliate chapter of the Association for Behavior Analysis International (ABAI). If you become a member of the Atlantic Provinces association you are in no way obligated to join ABAI. Nevertheless, we encourage all our members to join ABAI and support the development of applied behaviour analysis at the international level. In order to become a member of APABA, simply return this sheet with your signature and the information requested. We look forward to meeting you.
* Please note that all memberships expire October 31st of each year *
*
Indicates required field
Type of Member
*
New Member
Renewing Member
Personal Information
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Employment Position or Student Status
*
Employer or School
*
Email
*
Phone Number
*
Fax Number
*
Are you currently a member of ABAI?
*
Yes
No
Education
Highest Level of Education
*
Some High School
Completed High School
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
PhD
Graduation Year
*
Program Title and Name
*
Educational Institution
*
If you are a student, please indicate:
*
Full Time Student
Part time Student
Continuing Studies
Other
NA
If you are a student, please indicate the educational institution:
*
If you are a student, please indicate your program title:
*
Occupation
Current Occupation
*
Employment Status
*
Part-time
Full-time
NA - student
Area of Work
*
Public Service
Private Practice
Both
NA - student
If you are a clinician, or other practicioner, please describe your primary population that you work with
*
Describe the areas of your work in ABA that occupy more than 50% of your time (e.g., research, treatment, administration, teaching, designing treatments, supervision, etc):
*
Total number of years implementing or in any way working in the field of ABA:
*
Other Information
BACB: Are you a certified Behavior Analyst or Associate Behavior Analyst?
*
BCBA-D
BCBA
BCaBA
NA
Indicate if you are willing to include your information on the list of members on the APABA Website (You will be able to choose what fields are kept hidden)
*
Yes
No
If Yes, please indicate what fields you want to display
*
Name
Email
Career Position
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Are you willing to serve on committees or the executive of the Association?
*
Yes
No
If YES, indicate areas of interest. Check all that apply:
*
Executive Committee
Acknowledgement Team
Education Team
Engagement Team
Research and Advocacy Team
Not Sure At This Point But Willing To Help
Where did you hear about APABA
*
Colleague
Mailing
Conference
School
Workplace
Website
Facebook
Other
Type of Membership Requested
*
Full Membership ($30/year or $76.50/3 years)
Affiliate Membership ($20/year)
Student Membership ($20/year)
Full Membership - Completed a university/college program in a related field and employed utilizing behaviour analysis principles for at least one year. Affiliate Membership - Do not meet requirements, but interested in supporting and participating in APABA. Student Membership - Registered full-time or part-time in a college or university program in a related field.
Please add me to:
*
Newsletter and Updates via Email
Member Only Facebook Group
None of the above
By selecting the checkboxes below you consent to receive communications from APABA
Communication
After submitting your application, please proceed to the store page to complete your APABA registration by submitting the registration fee.
Your application will be reviewed by the executive and once approved, an email will be sent prompting you to create an APABA username/password. This username/password will be used to access member only services through our website.
* Please note that all memberships expire
October 31st
of each year *
Submit
Home
About Us
APABA Strategic Plan
Executive Board
>
2017 Election Results
Executive Meeting Minutes
APABA Bylaws
Annual Meeting Summaries
Brochure
Members
Membership Info and Registration
Member Services
>
Ask The Supervisor
>
Submit a Question
Supervisor Q & A
Member Registry
Szabo Webinar
Events
Upcoming Event Info
Online Event Registration
Awards
Store
Other Resources
Professional Development Opportunities
Contact
FAQ
