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Licensed

Please Select 1st year 50% off $62.50 PhD $125 PsyD $125 EdD $125

Associate Member:

Please Select 1st year 50% off $52.50 MA $105 MTF $105 LCSW $105

Affiliate Member:

Please Select 1st year 50% off $52.50 MD $105

Student Member:
Enrolled in Psychology or Counseling Program

Please Select 1st year FREE Student $30

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LCSW
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Licensed Psychiatrist
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MSW Trainee
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Topics You'd Like to Hear About at SGVPA Functions:

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Membership Directory Information:

Professional Settings:

Please Select Private Practice Academic Out Patient Clinic Hospital Other

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Types of Funding Accepted:
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Book Group
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Movie Night
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Ethics Committee
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Newsletter
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Membership
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Membership Directory Information:

Please Select Private Practice Academic Out Patient Clinic Hospital Other

Individuals and/or professional organizations occasionally request SGVPA’s membership roster for the purpose of mailing announcements regarding seminars, conferences, newsletters, etc. Please note that by filling out this form your name and address may be made available to the professional public.