Members of the South Plains
Association of Psychologists shall be persons who are residents in, employed in, or students in the State
of Texas. Members are interested in the advancement of psychology as a science and as a
profession, and practice within and adhere to the Ethical Principles of Psychologists.
Employed applicants shall be engaged in work that is primarily psychological in nature.
In seeking membership in SPAP we ask that you complete the following form and then click
on the "Submit" button. We will invoice you the specified amounts according to
your selection by return surface mail.
Form Validation Check (Please
answer the following question in order to process the form and stop spammers)
The Revolutionary war that
freed America started in what year (use four digits)
ast Name
First M.I.
Highest Degree
Business Address
City State
Zip Code
Business Phone
Business
Fax
Home Address
City State
Zip Code
Home Phone
Home Fax
Email Address
Professional Position/Affiliation
Date Awarded Highest Degree
Conferring Institution
Licenses/Certifications
Please list all relevant licenses/certifications you possess
American Psychological Association
American Psychological Society
National Association of School
Psychologists
Texas Association of School
Psychologists
Texas Association of Psychological
Associates
Other Memberships
Optional Information for the
SPAP Database.
Employment Setting (check one): Public School Private School
Residential
Institution Private Practice State Funded
Institution
College/University Other
Primary Position (check one): School Psychologist
Psychological Examiner Clinical Psychologist Counselor
Consultant Counseling
Psychologist College/University Trainer
Other
Primary Areas of Interest: Private Practice School I/O
Academia Research Public Service Families Prevention
Ethnicity: American Indian or
Alaskan native Black/African-American
Asian-American or Pacific
Islander Hispanic/Mexican
American
Puerto Rican White/Caucasian Other
Gender Male Female
Ethics Certification
Has your license to practice ever been suspended, revoked, or limited by a state licensing
board?
Yes No
Have you ever been convicted of a felony?
Yes No
Have you even been found guilty of unethical or unprofessional conduct by a local, state,
or national ethics committee, professional organization, or licensing board?
Yes No
Have you ever been found guilty of malpractice? (If yes, then please provide summary of
action
Yes No
SPAP Membership Categories (Please check one):
Member: Requires a
doctoral degree in psychology conferred by an accredited graduate school, or
licensure/certification as a Psychologist by Texas State Board of Examiners of
Psychologists.
Dues-$15.00
Student
Affiliate: Requires current enrollment in a graduate or undergraduate program, in
an accredited college or university, leading to a degree in psychology.
Dues-$15.00
Response Method (if you need additional information or want to
advise us of the best way to contact you): Please
call Send Email
Send surface mail
Please enter any text message below if you have questions or need
other information. It will be sent to us:
SPAP dues year runs from January 1 through December 31.
Dues to SPAP are not deductible as a charitable contribution but may be deductible as an
ordinary and necessary business expense. A portion of dues and/or sustaining membership
contributions, however, is not deductible as an ordinary and necessary business expense to
the extent that SPAP engages in lobbying. The deductible portion of dues for
2008 is 70%.
