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Applicant Name
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Current Address
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Fax
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Areas of Special Interest
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NCSP?
Membership Categories
Membership year is October 1 - September 30.
Membership Type
School Psychologist members must provide the following:
Certificate No. State
Associate members must possess a minimum of a Bachelor's degree, and cannot hold office or vote.
Student members must be carrying six (6) or more semester hours, and provide the following:
Student Trainer/Supervisor
Last First MI
Payment
For PayPal payment, Click  to purchase your membership before sending this form.
Make checks payable to:
WSASP
Box 18303
Spokane, WA 99208
For Purchase Order payment, you must provide the following:
PO No. District Name
Verification
I hereby verify that the information provided is accurate and agree, in making this application, to abide by the Professional Standards and Ethical Codes of the Washington State Association of School Psychologists, and the national ethical and professional standards of my profession.
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