Membership to the Wisconsin ATSA chapter is free but requires annual registration below. Membership allows for conference registration discounts, priority registration for WI-ATSA sponsored events, access to the WiATSA listserv, and voting rights.

Members must be in compliance with a national ATSA membership and must live, practice, or be licensed in the State of Wisconsin. For information on registration with the ATSA organization, please visit www.atsa.com.

Member Profile Update

First Name^*

Last Name^*

Degree/License Abbreviation

Email^*

Profession and Agency

Professional Area^*

Profession description (If "Other" is selected)

Agency Name^*

Agency Address

Address Line 1 ^*

Address Line 2

City ^*

State or Region ^*

Zip ^*

Listserv

Please indicate below if you would like to be added to the WiATSA listserv. You will receive additional instructions, including the list guidelines, in a separate email.

Add me to the listserv:

Membership Terms

I am a current member of the Association for the Treatment of Sexual Abusers in good standing and will maintain my membership through the current year. I currently live, practice, or am licensed in the State of Wisconsin. I understand that if I am charged with a felony, am accused, investigated, and/or involved in unprofessional or unethical conduct, or am denied membership in or terminated from ATSA or any other professional organization, I must email information pertaining to the allegations and/or investigations to WI-ATSA within two weeks of the event, or I risk my membership being denied or revoked. By renewing my membership, I agree to the above noted statements and affirm that all of the information I am providing is true, accurate, and complete.

Agree to membership terms^*

Date submitted^*

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