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Join OSPA Online!

You should be viewing this page for one of three reasons:

  1. You have been sent here after paying OSPA dues via PayPal
  2. You want to join OSPA via US mail, or
  3. You want to update your membership information.
You can use the form below for all of the above purposes. Please note the red asterisk (*) indicates a required field. When you are done filling in the fields of the form, you can:
  1. Email for form to the Membership Chair, or
  2. Print out a hard copy of your application, and then mail it with your check.
Here is the address to use:
OSPA Membership Committee
c/o Justin Potts
PMB 419
25 NW 23rd PL STE 6
Portland, OR 97210-5599

You may also contact our for the standard paper version of this form. (If your system is properly configured, clicking on the above link will launch an e-mail application with the address of our Membership Chair already put into the "TO" field. If not, you'll have to do all of this manually.) So, if you are ready, complete the form below:

*I want to (check one):
 
* First Name:
 
* Last Name:
 
Work Address: Apt:
 
Work City:  State:  Zip:
 
Work Phone:
 
Work Email:
 
Job Title/Role:
 
Employer/Hiring Agency:
 
FAX:
 
*It's OK To Contact Me At Work: (If retired or unemployed, just select "no".)
YES NO
 
*It's OK To Put Work Info In Directory: YES NO
 
*Use Work Email For OSPA Listserv: YES NO
 
* Home Address: Apt:
 
* Home City:  * State:  * Zip:
 
* Home Phone:
 
Home Email:
 
* It's OK To Contact Me At Home: (If retired or unemployed, just say "no"!)

YES NO
 
* It's OK To Put Home Info In The Directory: YES NO
 
* Use Home Email For OSPA Listserv: YES NO
 
Please help us update our membership database: In what year did you first join OSPA?
 
* Are you a member of NASP?
 
* What is your level of education?
 
Please list membership in other professional organizations
(e.g. OEA, CEC, OPA, APA, APA Div16):
 
Approximately how many students do you serve?
 
How many years have you been a school psychologist in Oregon?
 
* Membership Dues
(For fiscal year 7/1~6/30)
  • Regular members are currently licensed by TSPC as a school psychologist.
  • Student members are currently enrolled in graduate studies in school psychology full time, including internship, but not otherwise working as a school psychologist.
  • Retired members are retired from the practice of school psychology.
  • Associate members support OSPA's goals, may be currently employed in a related professional field, but are not licensed by TSPC as a school psychologist. Associate members may not hold office or participate in voting.
 
I'd like to help with this committee:
 
I could help others in the area of:
 
You MUST click the "Send it on!" button for the information to be sent!  
AFFIRMATION: I verify that the information provided is accurate and that I qualify for the membership category indicated above. I affirm that I will abide by OSPA's ethical principals and procedures.
 

Clicking on the "I'm done! Send it on!" button is all you need to do if you have already paid membership dues via PayPal or simply want to update your file information. If you plan to mail in your membership paperwork, they you will have to print out this page. Then send your application with a check payable to "Oregon School Psychologists Association" (sorry - OSPA cannot accept purchase orders) for the full amount of your dues to the following address:

OSPA Membership Committee
c/o Justin Potts
PMB 419
25 NW 23rd PL STE 6
Portland, OR 97210-5599

Please note that OSPA membership dues are for a fiscal year that runs July 1-June 30. Membership provides discounts at training conferences, a subscription to the OSPA newsletter, the Bulletin, and the opportunity to participate in all official functions, including determining the policies and procedures of the Association. Thank you for supporting your state organization!