Request a Membership Information Packet from the
American Academy of Experts in Traumatic Stress

There are two steps that must be completed in order to receive a membership information packet from the
American Academy of Experts in Traumatic Stress.

STEP 1. COMPLETION OF THE REQUEST FOR MEMBERSHIP INFORMATION FORM BELOW

Complete the form below and click on the preview button to view your submitted information. If the information is correct, you will be instructed to click on the button that will submit the information to the Academy. If the information is incorrect, you will be able to edit it by clicking on the 'BACK' button on your browser.

STEP 2. SUBMIT THE INFORMATION TO THE ACADEMY OFFICES

After you preview your information, click the "submit to Academy" button at the bottom of the page and your information will be submitted to the Academy. You should receive your packet within one week of the information being received at the Academy offices.

STEP 1. COMPLETION OF THE MEMBERSHIP INFORMATION FORM

(*) Required Information

Prefix (Dr./Mr./Mrs./Ms./Prof./Rev.):*
First Name:*
Last Name:*
Address Line1:*
Address Line2:
City:*
State/Province:*
Zip/Postal Code:*
Country:*
E-Mail Address:*
(Must be a vaild e-mail address)
Highest Educational Degree:*


How Did You Hear About The Academy?:*


Profession (e.g. Psychiatry, Neurology, Clinical Psychology, etc.):*


Areas(s) of Specialization (e.g. treatment of rape victims, intervention
with AIDS victims, pain management, etc.):*