Top
About ISIPT
Annual Conference
Calendar
Member’s Area
Contact Us
Newsletter
Navigation
International Society of Interpersonal Psychotherapy - ISIPT
ISIPT
Home
Main Navigation
About ISIPT
Mission & Vision
Policies / Bylaws
Donors
Officers & Executive Council
Regional Groups
History
Contact Us
About IPT
IPT
– Overview of IPT
– Key IPT Strategies
– Adaptations of IPT: What works for whom?
Conference
Past Conferences
2024 Annual Conference
Resources
Nancy K. Grote Memorial Fund
Resources for Patients
Books & Manuals
Research
Map of IPT Trainings
Worldwide IPT Trainings List
Map of IPT Research
Worldwide IPT Research List
Upcoming Trainings
Calendar
SIGs & Chapters
SIG-groups
Chapters
Brazil
China
Japan
Sub-Saharan Africa
Turkey
Membership
About Membership & Benefits
Apply for Membership
Certification
Certification Directory
ISIPT Certification Requirements
Therapist Certification
Therapist Added Qualifications (AQ) Certification–IPSRT
Trainer Certification
Supervisor Certification
Member’s Area
Trainer’s Tips and Tools
About Trainers’ Tips and Tools
Planning: Pre-Training Course Preparing
Running: Presenting Slides, Interactive Learning, Cultural Considerations
Clinical Teaching Referred to as Supervision
IPT Demonstration Videos
Additional Tools
IPT Assessments and Clinical Tools
Executive Council Minutes
Member Directory
Plenary Talks from Past ISIPT Congresses
Return to Content
Apply for Membership
Membership Details
Membership Details
*
General Members ($150)
Students ($50)
Low and Middle Income Countries ($50)
Primary Details
Prefix
*
Select the prefix
Mr.
Dr.
Mrs.
Miss
Ms.
Prof.
Prof. Dr.
First Name
*
Preferred Name
Middle Name
Last Name
*
Suffix
Select the suffix
II
III
IV
Jr.
Sr.
Designation
*
B.A.
B.S.
B.Sc.
BCPP
C.B.E.
C.M.
Ch.B.
D.ES SC.
D.Ms.
D.Phil.
D.S.
D.S.W.
D.Sc.
D.Sci.
D.V.M.
Dr. Med. Sc.
F.A.C.P.
FA
FACP
FAPA
FRCP
FRCP(C)
FRCPC
FRCPs
FRCPsy
FRCPsych
FRS
M.A.
M.B.
M.B.A.
M.D.
M.H.
M.P.H.
M.P.P
M.S.
M.S.W.
M.Sc.
Med
Med.D.Sc.
Ph.D.
Pharm.D.
Prof.
Prof. Dr.
Prof. Dr. med
R.Ph.
Sc.D.
Others
RN
NP
FRANZCP
B.M.
Psy.D.
L.P.C
AM
Press Ctrl key and click on designation to select multiple.
Ethnicity
Select the ethnicity
Caucasian/White
African American/African Descent/Black
Asian
Hispanic
Other
Native American
Pacific Islander
Display Name
*
Enter your full name as you would like it shown in communications from the Society.
Gender
Select the Gender
Male
Female
Other
Date of Birth
Training Information
Year of initial IPT training:
Please Enter your initial IPT training year.
Location of initial IPT training:
Name of initial IPT trainer:
Highest level of IPT experience:
Select Highest Level
Trainee
Practitioner/Clinician
Supervisor
Trainer
Other
Professional Details
Job Title
Profession
Affiliation
*
Other Affiliation
Biography
Contact Information
Company/Univ.Name
*
Country
*
Select the country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Antarctic Territory
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canton and Enderbury Islands
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos [Keeling] Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Cote d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Dronning Maud Land
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
French Southern and Antarctic Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Johnston Island
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR China
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Metropolitan France
Mexico
Micronesia
Midway Islands
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar [Burma]
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Neutral Zone
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Vietnam
Northern Mariana Islands
Norway
Oman
Pacific Islands Trust Territory
Pakistan
Palau
Palestinian Territories
Panama
Panama Canal Zone
Papua New Guinea
Paraguay
People's Democratic Republic of Yemen
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Reunion
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Sao Tome and Principe
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
U.S. Miscellaneous Pacific Islands
U.S. Virgin Islands
Uganda
Ukraine
Union of Soviet Socialist Republics
United Arab Emirates
United Kingdom
United States
Unknown or Invalid Region
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wake Island
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Aland Islands
Street
*
Street 2
Street 3
City
*
County
State
Postal Code
*
Phone
*
Please include country code.
Mobile
Please include country code.
Fax
Please include country code.
Web Address
Consent Information
I consent to the society sending me email correspondence relating to my membership, meeting attendance, meeting submissions or other society programs.
*Please note if you do not tick the box offering consent, we will not be able to contact you with any future updates.
Login Details
Login e-mail address
*
You will receive e-mail communications to your login e-mail address.
Password
*
Password must be at least 6 characters long
Re-enter Password
*
By submitting this membership request, you agree to recieve ISIPT email correspondence. To opt out of receiving ALL ISIPT emails, please contact
info@interpersonalpsychotherapy.org.