Note: Even if you do not wish to be listed in the Membership Roster, please complete for CIP's internal use. CIP members receive discounted rates on all program events, free certificates for attendance at Clinical Conversations and listing in the Membership Roster. They can contribute to "Member News and Notes" and "Professional Insight," and participate in our Speakers Bureau.
(click here if you would rather apply via fax)
September 2007-August 2008 Membership Fees:
$50 Regular Membership (Licensed Mental Health Professional) $30 Associate Membership (Unlicensed)
Your Details:
Degree:
License Type:
License #:
Brief description of professional activity / affiliations / interests in psychotherapy for roster listing, 20 words or less:
Please list my information in the membership roster. Must be received by October 15, 2006.
I am interested in learning more about CIP's committees:
Professional Development Program Committee (generates and organizes the Seminars for Professionals and the Advanced Clinical Case Conferences; works with one Core Staff Member).
Community Education Program Committee (generates and organizes educational materials and presentations for the community).
Communications Committee (works on public relations, graphics, etc.).
Event Planning Committee (helps with An Extraordinary Evening with the Arts [participating on the Sponsor, Auction, or Food/Beverage Committees], Share Your Healing Story, and/or other events).
Development Committee (helps with fundraising).
Community Notes Newsletter Committee (writes and/or solicits one article for each quarterly issue).
Alumni Committee (organizes alumni events, requests information for "Alumni Notes" in quarterly newsletter).
I can't make a commitment, but I'd like to help when I can. Call if there's a need.
Page Links
Seminars for Professionals Study Groups Clinical Conversations Supervisor Training Program CIP Brochure Apply Now!
counselingCIP@aol.com www.CIPMarin.org
