Southwestern Ohio School Psychologist Association

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2024-2025 Membership Application
Membership Year: July 1 through June 30

*Applications can be accepted beginning 1/1/2024*

Please select one of the following: *

New Member

Renewing Member

Please select one of the following categories: *

Full Member

Intern

Student

Retired

First Name *

Last Name *

Email: *

Reenter Email: *

Street Address: *

City: *

State: *

Zip Code: *

Home Phone (optional):

Business Phone (optional):

Employer: *

Your Position (optional):

Business Address (optional):

Please enter complete address

Are you a current OSPA member? *

Yes

Check all that apply:

NASP Member

Nationally Certified

If you are enrolled in a school psychology training program, please indicate which program:

Years Practicing *

Student/Intern

First Year

2-5

6 or more

How can SWOSPA best serve you?

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