Guest
Free
This membership is for non-professionals who would like to post classifieds to the IPA website.

Full Membership - Licensed
$140
Must be currently licensed in the state of Illinois.
Early Career Licensed Psychologist (ECP) Licensed in the past 5 years pay a discounted $30 Legislative Assessment Fee and income Based Supplemental Assessment for two years, then after year two, ECP psychologists move to Licensed Second Year Membership Dues.
License Number Year Licensed

Full Membership - Non-Licensed
$95
Applicant has a doctoral degree in psychology but is not a licensed psychologist. Applicant must meet the following requirement: Earned a doctoral degree in Psychology from a program accredited by the Council of Post Secondary Accreditation or accredited by the American Psychological Association.

Student Member
$15
Applicant is a full-time tuition paying student who is majoring in psychology or an intern/resident in psychology.

Affiliate Member
$140
Applicants have an interest in psychology such as but not limited to certified paraprofessionals, high school teachers and members of the general public. Affiliate Members are considered non-voting members of the Association. Affiliate Members may serve as members of committees of the Association and participate in programs and discussions of issues.

Out-of-State Member
$50
Applicant is a former member who has relocated to another state or a psychologist or psychology graduate student from another state who wished to be affiliated with the Association.

Hold Harmless / Ethics Attestation

In making this application, I agree to be bound by the Ethical Principles of Psychologists and the Code of Conduct of the American Psychological Association. I affirm that the statements made in this application correctly represent my qualifications for membership and understand that if they do not, my membership may be voided. I understand that my membership in IPA does not certify my competence in any area of psychology. I will not use my membership in IPA as an indication of my competence in any representation to the public.

Membership may be denied to an applicant for cause, which includes but is not limited to disciplinary action for ethical reasons by the American Psychological Association, disciplinary action by any Psychology Licensing Board (including but not limit to censure, suspension, revocation or denial of licensure), misrepresentation of qualifications to the public or the Association, or any cause that constitutes grounds for disciplinary action by the Illinois Clinical Psychologists' Licensing and Disciplinary Board.

Yes No

Automatic Membership Renewal

If you would like your membership to be automatically renewed each year, select "Yes" below.

Yes No

Step 2: Section Membership - Optional

Academic $10

Clinical Practice $30

Consulting $25

Early Career Psychologists (first ten years out of grad school) $10

Graduate Students (IPAGS) $5 (included with Grad Student Membership)

Behavioral Medicine and Neuropsychology $10

Military and Public Safety Psychology $10

Section on Ethnic Minority Affairs $15

Sexual Orientation Section $15

Social Responsibility $20

Women's Issues $10

Step 3a: Mandatory $60 Legislative Assessment Fee for Licensed Members

$0

Step 3b: Mandatory Supplemental Legislative Assessment Fee for Licensed Members

If your annual net income is:

$30,000 - $50,000 : $80
$50,001 - $80,000 : $130
$80,001 - $110,000 : $170
Over $110,000 : $200

Explanation of the Licensed Psychologist Legislative Assessment Fee: The base Legislative Assessment is $60 for all licensed psychologist. The Mandatory Supplemental Legislative Assessment is based on your income. These assessments are designated exclusively for IPA Legislative and Advocacy activities. The IPA continually defends the rights of psychologists to continue to provide the services for which they are trained. The IPA also monitors activities and advocates for legislation that has an impact on the consumers we serve, consumers who are not organized to protect themselves. A legislative assessment is charged to all psychologists with the rationale that even those psychologists who see only a few patients a week do so because the IPA works to protect that right.

Step 4: Total:

TOTAL DUE:

Credit Card Information

First Name on Credit Card

Last Name on Credit Card

Credit Card Number

Security Code

Expiration Month
01 02 03 04 05 06 07 08 09 10 11 12

Expiration Year
2024 2025 2026 2027 2028 2029 2030