OptionsJoin DASP as a New Member or Renew your annual DASP Membership. Please complete the form below based on your respective option.Application Type (Choose One)*If you are looking to Join DASP, please select “New Member Application”; If you need to Renew your Annual Membership, please select “Annual Membership Renewal.” This selection is REQUIRED for the form!New Member ApplicationAnnual Membership RenewalMember InformationPlease enter your personal information in this section accurately and carefully. This information will be used for membership directory, communication methods and professional citations.Full Name:* First Last Maiden Name:Address:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Personal Email:* Enter Email Confirm Email Mobile Phone:*Work Phone:Employment Status (Choose all that apply): School Psychologist with MDCPS Clinical Psychologist with MDCPS Private Practice Agency Student/Intern University Professor Other Specify "Other" if selected above:Currently Licensed?*Licensed applicants who provide proof of current FASP or NASP Membership will receive a $10 discount off DASP membership.YesNoFL Professional License #:*Member of FASP or NASP?*YesNoWhich organization are you a member of*Member of FASPMember of NASPMember of both FASP and NASPUpload Proof of Membership*Accept DASP Terms of Membership:*My membership will ONLY be processed if accompanied by this membership application & proof of FASP or NASP Membership (if applicable). I agree to abide by the Ethics and Standards of the National Association of School Psychologists. The email address I provided above will be used to update members monthly on current issues. I Accept These Terms DASP Membership Type:*Choose from drop downLicensed (Not a Member of NASP or FASP; CEU's Awarded)Licensed (Member of NASP and/or FASP; CEU's Awarded) $10 Discount applied for FASP/NASP MembershipNon-Licensed (No CEU's Awarded)DASP Retiree/Honorary MemberStudent MemberTotal $0.00 Δ