Register

Please be careful to complete all required fields. (marked with * or in red)
After clicking the Submit button, please check the changes by scrolling down the Profile information.

* Username

* Email

* Confirm Email All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or to receive certain SCCAP news or notifications. If you update your email, don’t forget to notify the listserv manager - sccap53list@sccap53.org

* First Name

* Last Name

* Password

* Confirm Password

Correspondence Information

SCCAP uses this information for all mailed correspondence (e.g. Journals, etc.) and Membership Directory Listings that are for Paid SCCAP Members only.

The application information collected below is for official SCCAP committee work, SCCAP mailed correspondence, and the Membership Directory (Visible only to paid members). Your information will not be shared with outside entities.

* Employer/Company If Applicable, otherwise leave blank

* Street Address 1 (If applicable). Please spell out all abbreviations and make sure address are formatted as [Number] [Street Name].

Street Address 2

* City (Required)

* Country

* State

* Zip/Postal Code (Required)

Home Number

Work Number

Mobile Number

Demographic Information

* Year of Birth (YYYY)(Required)

* Gender (Required)

* Race (Required)

* Are you of Hispanic/Latino(a), or Spanish origin?

Yes

No

(Required)

Please check those that apply.

Cuban

Mexican, Mexican American, Chicano(a)

Puerto Rican

Another Hispanic, Latino/a, Spanish origin

Education

* Highest Degree Awarded (Required)

* Year Highest Degree Awarded (YYYY)(Required)

APA Member?

No

Yes

APA Member # Locate at my.apa.org

Publications:

SCCAP is proud to offer all members free online access to both the Journal of Clinical Child and Adolescent Psychology and Evidence-Based Practice in Child and Adolescent Mental Health.

Members are able to purchase hard copies of EPCAMH at a dramatically reduced rate of $20 per year.

The ordering option is on the Publications page of the website.

Degree Program and Location

Select if you are an International Student

Yes

Your Country of Origin

Licensure

Licensed as a psychologist by a State or Provincial psychology Board?

N/A

No

Yes

Licensure Country

Licensure State

License Number Enter 0 if N/A

Additional Information

Professional Self-Identity

Employment Setting

Terms Section

In making this application, 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 my membership may be denied or revoked for cause, which includes, but is not limited to, disciplinary action for ethical reasons by any other governing body by which I am bound (state/national psychological associations, universities, etc.)

Accept our Terms & Conditions

Privacy Section

Policy Statement

I have read and understood the SCCAP Policy Statement.