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Florida Group Psychotherapy Society Membership Application - Full Membership

Member Information

*Note - All individuals signing up for membership with FGPS will be automatically added to the mailing list. If you wish to opt out, please contact us through e-mail.
1.Please provide your first and last name(Required.)
2.E-mail address (This information is used to send you a PayPal invoice for membership fees)(Required.)
3.Please provide a contact number(Required.)
4.Mailing address(Required.)
5.Please tell us your profession, license, and a brief description of your practice(Required.)
6.Are you a member of AGPA?(Required.)
7.We value the diverse experiences and talents of our members. Whether you would like to simply stay connected or play a more active role, there are many ways to participate. The questions below are optional and will help us understand your interests and how we can make your membership meaningful to you.

What aspects of our mission or activities most interest you?
8.Which of your skills or experiences might you enjoy sharing with our community?
9.How involved would you like to be this year?