Texas Psychological Association - Membership Application 2022

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Texas Psychological Association - Membership Application 2022
MEMBERSHIP

                    Texas
             Psychological
               Association
                   Membership
                    Application

                          2022
Dear Colleague,

I first want to express my deep condolences to everyone who has lost family, friends, colleagues, or any loved one to this
pandemic.
I want to share with you my vision for moving TPA forward into the new year. I sincerely hope that my vision for 2021
aligns with your vision and the reasons you are considering TPA membership. I can summarize my vision with two words.
Advocacy and Engagement.
I think of advocacy in two ways. First, advocacy for the profession and second, advocacy that uses the science of
psychology for the social and community good.
TPA has long been the only organization in Texas advocating for psychologists both legislatively and on regulatory matters.
Many psychologists became active in TPA in order to engage in this type of advocacy and the 2018 Strategic Plan identified
advocacy for the profession of psychology as the number one priority for TPA members. So, it was a bitter pill to swallow
when our efforts did not prevail during the consolidation battle.
But we went on and we go on. Importantly, Jessica Magee and Kevin Stewart have moved us beyond years of animosity
between TPA and the associations of the other behavioral health boards to forge alliances that have the prospect of
fighting encroachments on our professional identities and ethical standards of practice. This is evident in our recent
combined effort to roll back changes to the SW rules regarding ethical protections for LGBTQ and disabled clients. We are
gearing up right now for the legislative session and anticipate some important work to be done regarding telehealth and
other practice and regulatory issues. This is a great opportunity for advocacy by our membership.
But advocacy isn’t only about protecting the practice interests of psychology. Advocacy is also about using the science of
psychology to advance social justice issues in Texas. This type of advocacy was also identified as important to TPA members
during the strategic planning process. Social justice advocacy, I would argue, is the responsibility of psychologists in
carrying out the psychological ethical principle of justice.
The second word of my vision is engagement. Successful advocacy requires engagement. I increased my engagement with
TPA significantly several years ago in order to advocate. You may have heard others quote the late TPA President Lynn
Rehm as saying “TPA is whoever shows up.” When I first heard this statement, it explained perfectly what I personally was
doing at this place and time in TPA. I had shown up.
Something else we learned from our Strategic Planning Survey is that TPA members want to be engaged. The pandemic
and the racial justice movement have spurred psychologists into action. It is the responsibility of TPA leadership to make
opportunities for engagement available and accessible. We can continue to build upon Dr. Mooney’s Inclusion initiative
to keep saying you are welcome at TPA, we value and respect the talents that you bring, and to please show up. And for
those of you who have been disappointed in TPA in the past but have found your way back, I welcome you.
I would like to end with an observation that Advocacy and Engagement require teamwork. Teamwork requires valuing
each other’s opinions and diverse talents and always showing respect for individuals. I have always believed that the
science and practice of psychology is one that values collaboration. In psychology we build upon the work that others have
done before us. When we find mistakes, we are humble and seek to correct them. Let’s keep that process going in TPA.
We stand together to keep moving toward something bigger than we can achieve alone.
So please bring your talents, your knowledge, your energy and passion and join me in Advocacy and Engagement for TPA.

Fran Douglas, PsyD
2021 President, Texas Psychological Association
Membership Benefits

Membership in the Texas Psychological Association is an investment in your profession and your future.

Professional Advocacy
We are your voice before the:
   •   Texas Legislature
   •   Texas State Board of Examiners of Psychologists
   •   Behavioral Health Executive Council
   •   Other state regulatory agencies

Networking & Peer Consultation
Participate and get involved in:
   •   Divisions - Aging, Forensic Practice, Neuropsychology, Psychopharmacology, Early Career & Student
       Affiliates, and Diversity, LGBTQ, & Social Justice
   •   Special Interest Groups - Intellectual and Developmental Disabilities, Military, Business of Practice, and
       Disaster Resource Network
   •   Committees - Academic and Higher Education, BHEC/TSBEP Monitoring, Convention, Grassroots,
       Legislative, Membership, Public Education, Science, and the Texas Psychologist Editorial Board
   •   Member listserv subscriptions
       ... and coming in 2022: Student Senate as well as Emerging Leaders Program!
Annual Convention & Professional Development Opportunities
   •   Opportunities to present
   •   Discounted professional development programs

Member Services
   •   Peer consultation - Ask questions and access information concerning professional affairs including
       ethics, insurance/managed care, and practice management
   •   Publications - Texas Law on the Practice of Psychology, Cases on Mental Health Law in Texas, and
       the Texas Psychologist
   •   Professional discounts - save on Office Depot products and supplies, save up to 25% off standard fees
       with Affinipay Merchant Services, save 20% on your Professional Liability Insurance with American
       Professional Agency, and save on collection services through TPA’s preferred vendor, I.C. System. New
       in 2021, save $10 on cutting-edge webinars presented by the National Register of Health Service
       Psychologists and get two months free on website services with TherapySites.

                                   Platinum Advocate Member Exclusives
In addition to the great benefits listed above, Platinum Advocates are also entitled to:
   •   Half-priced convention registration
   •   FREE online professional development program up to 3 hours for a maximum of $75
   •   FREE Doctor Finder listing
   •   FREE, unlimited phone consultation with an attorney
   •   Special badging at convention
   •   Recognition in TPA publications and website
Membership Categories

   Doctoral

   • Requires a doctoral degree in psychology conferred by an accredited graduate school, or
     a doctoral level licensure by the Texas State Board of Examiners of Psychologists (TSBEP).

   • Platinum Advocate: Platinum Advocate membership affords added benefits and
     resources
   • Doctoral Member: Requires a doctoral degree in psychology earned more than 7 years
     ago
   • Recent Graduate: Requires a doctoral degree in psychology earned within the past 7
     years
   • Doctoral Psychological Researcher: Requires a doctoral degree in psychology and/or
     neuroscience which was conferred by an accredited graduate school. You must not be
     licensed to practice as a psychologist.
   • Semi-Retired: Requires member to be at least 65 and working fewer than 20 hours per
     week
   • Disabled: Requires member to be disabled
   • Life: Requires member to be 65 or older and fully retired and have been a member of
     TPA for 10 or more continuous years
   • Non-Resident: Requires residence outside of Texas
   • Active Duty Military: Requires active duty military/service

   Associate

   • Requires a master's degree in psychology which was conferred by an accredited graduate
     school, or master's level licensure by TSBEP.

   • Associate Member: Requires a master's degree in psychology earned more than 7 years
     ago
   • Recent Graduate: Requires a master's degree in pyschology earned within the past 7
     years
   • Life: Requires member to be 65 or older and fully retired and have been a member of
     TPA for 10 or more continuous years
   • Non-Resident: Requires residence outside of Texas
   • Active Duty Military: Requires active duty military/service

   Student/Pre-Doctoral Intern/Post-Doctoral Fellow

   • Requires one of the following: A doctoral degree in psychology, current enrollment in an
     internship to become a licensed psychologist, or current enrollment in a graduate or
     undergraduate program, in an accredited college or university, leading to a degree in
     psychology.

Texas Psychological Association │ PO Box 163236, Austin, TX 78716 │ Toll Free: 888-872-3435 │ admin@texaspsyc.org
Texas Psychological Association Application/Membership Renewal
STEP 1: Contact Information (Required)                                                                                        2022
First and Last Name: _______________________________________________________                           Degree: _______________
Preferred Mailing Address:         Home _____         Office _____                                     Degree Year: __________
Home Address: _____________________________________________________________________________________
Office Address: _____________________________________________________________________________________
Phone: __________________          Email: ____________________________________                      TSBEP License #: ____________
STEP 2: Select Your Membership Category (Required)

                    DOCTORAL MEMBERSHIPS                                                  ASSOCIATE MEMBERSHIPS
  •     Platinum Advocate ___ $50/mth            ___ $600/yr               •   Associate Member ___ $12.08/mth___ $145/yr
  •     Doctoral Member ___ $28.83/mth           ___ $346/yr               •   Recent Graduate ___ $6.04/mth ___ $72.50/yr
  •     Recent Graduate ___ $14.42/mth           ___ $173/yr               •   Life                               ___ $25/yr
  •     Doctoral             ___ $10.50/mth      ___ $125/yr               •   Non-Resident         ___ $6.04/mth ___ $72.50/yr
        Psychological Researcher                                           •   Active Duty Military               ___ $25/yr
  •     Semi-Retired         ___ $14.42/mth      ___ $173/yr
  •     Disabled             ___ $14.42/mth      ___ $173/yr
  •     Life                                     ___ $25/yr                                 ADDITIONAL MEMBERSHIP
  •     Non-Resident         ___ $14.42/mth      ___ $173/yr                       •   Student/Pre-Doctoral Intern/Post-
  •     Active Duty Military                     ___ $25/yr                            Doctoral Fellow            ___ $10/yr

If you are experiencing extreme financial difficulties and would like to
apply for Special Consideration, please attach a letter to this form.

STEP 3: Select Optional Contributions

  TEXAS PSYCHOLOGICAL FOUNDATION                                 PSY-PAC
     (All contributions are tax
            deductible)                           Amount $_____

 Amount $_____                                    •    Member ($100)
 •     Hero ($250+)
 •     Friend ($100+)
 •     Donor (< $100)

STEP 4: Select Optional Division(s) of Interest & Special Interest Group(s)

                                 DIVISIONS                                                    SPECIAL INTEREST GROUPS
      ___ Aging                    ___ Forensic Practice ($10)                    ___ Child/Adolescent Issues
      ___ Disaster Response        ___ Psychology in Schools &                    ___ Business of Practice
      Network                      Child/Adolescent ($10)                         ___ Early Career & Student Affiliates
      ___ Military                 ___ Psychopharmacology ($10)                   ___ IDD
      ___ Neuropsychology          ___ Psychology of Diversity,
                                   LGBTQ, & Social Justice ($10)                    Texas Psychological Association │ PO Box 163236,
                                                                                      Austin, TX 78716 │ Toll Free: 888-872-3435 │
                                                                                                  admin@texaspsyc.org
STEP 6: Method of Payment (Required)

Check one: ___ Master Card ___ Visa ___ AmEx ___ Discover ___ Check/ACH

   CALCULATE YOUR PAYMENT
TPA Dues        $________              Automatic Monthly ____ I authorize TPA to draft my credit card or bank
                                       account for the amount I listed. I understand that by checking “automatic
TPF             $________
                                       monthly” my membership will renew monthly until I contact TPA in writing
PAC             $________              to discontinue my membership.
Division Dues $________
Doctor Locator $________               Payment in Full ____ I am paying in full for 2022.

TOTAL:          $________

Credit Card # ___________________________________ Exp. Date ___________ Security Code _________
Bank Routing Number _________________________ Bank Account Number _________________________
*Dues to TPA are not deductible as a charitable expense but may be deductible as an ordinary and necessary
business expense up to 82%.

      Texas Psychological Association │ PO Box 163236, Austin, TX 78716 │ Toll Free: 888-872-3435 │ admin@texaspsyc.org
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