Join PSPPR

The Society is a non-exclusive organization of professionals in the field of psychology from diverse backgrounds with common interests in supporting psychology as a profession through service, education and mutual support.

Requirements:

  • Members: Persons with Masters or doctorate in psychology from an accredited school in the area of clinical counseling, applied, academic/research, and school psychology. Membership fees: $30  October 1st – Sept 30th.
  • Student Affiliates: Individuals actively pursuing an undergraduate or graduate degree in psychology or related field. Membership fees: $15 October 1st – Sept 30th
  • Interested Affiliates: Non-Psychologists/students who have an interest in Psychology Membership fees: $30  October 1st – Sept 30th.

Benefits of Membership:

  • Two to Three conferences/events per year
  • Updates on legal and ethical issues in Psychology
  • Professional Networking
  • Newsletters
  • Opportunity for members to market their practice on our website.

If you would like to be included on the PSPPR web site you must complete the online registration form below and pay online for your registration.

If you would not like to be included on the PSPPR web site you can either fill out only the Registration portion of the form below and pay online or click here for a printable version to mail in with registration payment. (Mailing instructions are included on the form)

 

 

Registration type:

 Initial

Renewal
First Name:

 

 
Last Name:  

 
Email:

 

 
Address:  

 
City:  

 
State:   

 

 

 

  
Zip:
  

 
Work Phone:

 

 

Ext:

 

 
Home Phone:

 

 
Psychologist Member:
Degree:
  

 

PhD

 

EdD

PsyD

 

Other
Degree Granting Institution:
   

 
Licensed in Colorado as a psychologist?
 

 

Yes 

 

No
Psychology Graduate Student Member:
Degree:
  

 

MA

 

MS

 

Other
Degree Granting Institution:
  

 
 
   
 
  

 
 
  

 

 
Interested Affiliate
(for non-Psychologists/students who have an interest in Psychology)
Profession:
   

 

 

Web site specific information:
Would you like to be included in the web site members list?
 

 

Yes 

 

No
If you would like to be included in the psppr.com members directory, please fill in the next section. If not, simply scroll to the bottom of the page and hit “Submit” to be taken to step 2, our secure payment page.
Business Name:
  

 
Type of Business:
  

 

Private Practice
  

 

Academic/Research
  

 

Graduate Student
  

 

Other
Location of Business:
  

 

NW Colorado Springs
  

 

NE Colorado Springs
  

 

SW Colorado Springs
  

 

SE Colorado Springs
  

 

Downtown Colorado Springs
  

 

Monument/Black Forest Area
  

 

Other
Business Address:
(

Same as Above)
 
   

 
Business City
   

 
Business State:
 

 

 

    
Business Zip:
  

 
Business Phone:
 

 

Ext: 

 
Would you like your Business Address published on the PSPPR site?
 

 

Yes 

 

No
Would you like your Business phone number published on the PSPPR site?
  

 

Yes 

 

No
Would you like a link to your own web site from the PSPPR site:
 

 

Yes 

 

No
If yes, please enter your web site address:
  

 
Population:
(check all that apply)
  

 

Children		   

 

Adolescents
  

 

Adult 		  

 

Couples
  

 

Families 		  

 

Geriatric
Description of Services Available/Specialty/Expertise/Accepted Insurance-Provider Panels:


Education Background


Publications/Lectures/Research:
(Please list any work you have had published (books, articles, contributions to psychological journals, etc.)


Comments/Special Needs/Additional Information

By submitting this form I certify that the above statements are true and accurate to the best of my knowledge and understand that any attempt to misrepresent or falsify information presented in this application constitutes grounds for termination of membership. Further, I understand that such misrepresentation will be reported to the state Licensing Board and/or Grievance Board as appropriate. I agree to adhere to the Ethical Principals of Psychologists and Code of Conduct of the American Psychological Association.

 

 
Step 1: Registration for membership

Please enter your personal information below.
After clicking on the Submit button you will be taken to step 2,
our secure payment system to complete your registration.