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 June 1st – May 31st.
  • Student Affiliates: Individuals actively pursuing an undergraduate or graduate degree in psychology or related field. Membership fees: $15 June 1st – May 31st.
  • Interested Affiliates: Non-Psychologists/students who have an interest in Psychology

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)

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.

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:

Have you ever been convicted of a felony?

Yes

No
Is there a grievance pending against you?

Yes

No
Have you ever been found in violation of the APA’s Ethical Principals of Psychologists and Code of Conduct?

Yes

No
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.