Membership : Form

I wish to be in the Directory of ONSAP Members

Yes No

(The Directory will contain the names and contact information (i.e. email address, mailing address, telephone number(s) of ONSAP members only). This Directory will be accessible only to other ONSAP members for the purposes of communicating with members.) I give permission for the above information to be listed in the Directory of ONSAP Members on the ONSAP website.

I wish to be in the Listserv of ONSAP Members

Yes No

(The Directory will contain the names and contact information (i.e. email address, mailing address, telephone (The Listserv will contain the names and email addresses only of all ONSAP Members. The Listserv is accessibly only to those individuals listed, and all contact information will remain protected by ONSAP. The Listserv will not be used for information unrelated to ONSAP and Adlerian psychology.) I give permission for my contact information to be added to the ONSAP Listserv.

I wish to be in the Database of ONSAP Members and Friends of Adler.

Yes No

(The Database will contain the names and email addresses only of all oNSAP Members and Friends of Adler. The Database will not be used for information unrelated to ONSAP and Adlerian psychology, and it will remain protected by ONSAP.). I give permission for my contact information be added to the ONSAP Database for the purposes of being updated about events (conferences, workshops, social), memos, meetings, etc.

I am a NASAP Member
Yes No

I accept referrals
Yes No

I am an Adlerian Therapist/Coach

I give my permission for my name and telephone number to be provided to individuals inquiring about an Adlerian Therapist/Coach
Yes No

General Membership: Individuals who are professionals (i.e. counsellors, psychotherapists, teachers, social workers, etc.), parents, retired individuals, parent educators, etc. They will be able to run for office or have an independent vote.

Parent-Teacher Membership: Parents and teachers who are interested in Adlerian Psychology. They will be able to run for office and have an independent vote.

Student Membership: Students enrolled in an undergraduate or graduate program FULL-TIME. Applications will not be processed until student status is verified. To verify, send current registration form or an e-mail from one of your professors or the registrar's office to info@adlerontario.ca or mail it with your application.

Coach Membership: Individuals who are coaches that help people make changes in their personal and professional life. They will be able to run for office and have an independent vote.

Affiliate Membership: Organizations interested in Adlerian Psychology. They have full privileges except for voting or serving on the ONSAP Board or committees. Organizations can send their membership questions to info@adlerontario.ca.

Member Interest

Payment Type
Credit Card
Cheque
eTransfer

If you have selected payment by credit card, you will be transferred to the fully encrypted PayPal site when you complete this form (when you click the Submit Application button).

If you choose to pay by cheque, mail a cheque in the amount of your membership fee made out to The Ontario Society of Adlerian Psychology to:

c/o Charmaine McIntosh
P.O. Box 11,
Fergus, Ontario N1M 2W7

If you choose to pay by eTransfer, send the payment information to:

info@AdlerOntario.ca

Ontario Society of Adlerian Psychology

Gemeinschaftsgefuhl ~ Advancing Adlerian Psychology in Ontario Through Social Interest, Sense of Belonging, Community Feeling and Equality

Membership Application

Please allow 2 to 3 weeks for processing

THANK YOU FOR YOUR INTEREST AND SUPPORT!

Address:	P.O. Box 11, Fergus, Ontario N1M 2W7
Email:	info@adlerontario.ca