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Highest degree earned |
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Year degree earned |
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Institution from which this degree was earned: |
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Areas in psychology in which you received or will receive your degree (e.g., clinical, I/O, social, etc) |
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Ethnicity |
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Languages (other than English) |
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Research/Practice Interests or specialization (5-6 words) |
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I permit AAPA to release my User information (name, address, email) and/or research interests
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Student Members only--Please complete these items:
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School where you are enrolled: |
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Degree objective (e.g., Ph.D., Psy.D., MA., M.S.W.) |
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Expected graduation date: |
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State where you practice |
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Closest major city to where you practice |
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City where you practice |
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Licensed?
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Psychologist
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MSW |
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Other (please specify: ) |
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None |
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Therapy provided to: (choose as many as apply) |
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Adolescents
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Adults
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Children
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Couples Therapy
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Elders
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Family Therapy
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Languages in which you provide services (other than English): |
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Cantonese
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Lao
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Mandarin
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Taiwanese
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Other (please specify)
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Agency Name (if applicable) |
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Practice phone number (for clients) |
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Practice email (for clients) |
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Practice interests or specialization (5-6 words) |
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