Membership Application – Dade Association of School Psychologists

Options

Join 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 Application
Annual Membership Renewal

Member Information

Please 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 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.

Yes
No

FL Professional License #:*

0 of 30 max characters

Member of FASP or NASP?*

Yes
No

Which organization are you a member of*

Member of FASP
Member of NASP
Member of both FASP and NASP

Upload 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:*

Total

$0.00

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