Register 2026 New Member Application "*" indicates required fields Step 1 of 3 33% Welcome to the WV Psychological Association We're glad you have invested in your professional career in psychology by becoming a member of WVPA. Please let us know if you have any questions by emailing us today. We're here to assist you! Prospective applicants will be reviewed by the Membership Committee and the Board of Directors. Payment must be included with application. You may print off a member application and mail with a check, or apply on line and pay through Pay Pal or print an invoice and remit with a check. Please advise us if you choose to NOT be included in the WVPA listserv. Click 'Join' > 'Member Types' on the web page menu to view a definition of the member types and dues.Please select a member type to continue your registration* Full Member Academic/Government Member Affiliate Member Associate Member Compassionate Circumstances Member Early Career Psychologist Member Life Member Retired Member Student Member Please note this is for NEW members only. This membership will be valid through the end of 2026.Early Career Psychologists Member years practiced* Year 1-4 Year 5-7 Year 8-10 This membership will be valid through the end of 2026Create Username*Your Email* Enter Email Confirm Email Create Password* Enter Password Confirm Password Strength indicator Name* First Last DegreePractice Name*Mailing Address Line 1Mailing Address Line 2CityStateAlabamaAlaskaArizonaArkanasasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWork/Practice Zip CodeHome/Residential Zip Code*Phone #Mobile Phone #WebsiteAre you self-employed? Yes No License #APA Member Yes No Graduate School (completed degrees only)Graduation Date (completed degrees only)For students only: Current graduate schoolFor students only: Anticipated graduation dateEthics Declaration* Agree Disagree I agree to abide by the Ethical Principles of Psychologists and Code of Conduct set forth by the American Psychological AssociationPlease confirm:*Have you at any time been convicted of a felony, sanctioned by any professional ethics body, licensing board, or other regulatory body or by any professional or scientific organization? No Yes If Yes, please explain:WVPA referral service participation I agree to participate I do not want to participate RaceAfrican-AmericanAsianCaucasianHispanicOtherI was a previous member of WVPA? No Yes Languages American Sign Language Arabic Braille Chinese English French German Italian Japanese Spanish Areas of Practice (Please only select areas of practice you are currently competent to assess for/treat rather than selecting all areas of interest.) Abuse - Physical, Sexual, Emotional Academic Assessment: Learning Disorders & Giftedness Adult Psychotherapy Addictions: Substance, Gambling, Sexual, Internet Addictions Adoption/Foster Care Alzheimer’s/ Dementia Anger Management Anorexia / Bulimia / Body Image Concerns Anxiety Attention Deficit Hyperactivity Disorder: Treatment & Assessment Autism/ Asperger’s Spectrum Disorders Bereavement Bipolar Disorder Brain Injury / Organic Brain Syndromes Assessment & Treatment Child Behavior Problems/ Delinquency Child Custody Evaluations Child Therapy Competency Assessments Corporate Consultation Court Testimony Criminal Responsibility Assessments Crisis Intervention Death and Dying Depression Disability Determinations Dissociative Disorders Domestic Violence: Victim Domestic Violence: Offender Family Issues (Stepparents, divorce, sibling relations) & Family Therapy Forensic Evaluations Gay / Lesbian / Bisexual Issues Gender Identity / Transgender Issues Generalized Anxiety Disorder Group Therapy - Adult Group Therapy - Children & Teens Health Psychology Infants / Toddlers / Pre-School Infertility Intellectual Disabilities Marital / Couples Mediation Men's Health Issues Neuropsychology: Assessment Pain Management Panic Attacks Parenting Issues Peer Problems Performance Anxiety Performance Enhancement Personal Injury Litigation Personality Assessment Personality Disorders Phobias Physical Disabilities and Illness Play Therapy Police / Corrections Assessment Post-Partum Depression Post-Traumatic Stress Disorder Pre-Surgical Assessments Psychological Testing Rape / Incest Victims Rehabilitation Schizophrenia / Psychosis School Problems Selective Mutism Self-Esteem / Self-Concept Self-Mutilation Severe Mental Illness Sexual Disorders/ Sex Therapy Sleep Disorders Smoking Cessation Social Anxiety Disorder Spirituality / Religious Issues Sports Psychology Stress Management Suicide Evaluation and Intervention Tourette's Syndrome Transitions / Life Changes Veterans and Military Families Violence Perpetrators Violence Victims Weight Loss Women's Health Issues Workers' Compensation Evaluations Workplace Stress/ Violence Other Other*Ages Served Infants / Toddlers (0-3) Children (3-12) Adolescents (13-17) Adults Geriatric What advocacy issues are important to you?What type of CE events/topics would you like to see?What do you value most about WVPA membership?What opportunities/experiences would you like to see in WVPA?More InformationEducation / ExperienceSocial / Volunteer OrganizationsRegistration Total: Payment Method*PayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
