Online Therapy Institute Membership Application

Online Counselling and Consultancy

Online Therapy Institute Membership Application

Annual Membership Fees

$ 50.00 USD INDIVIDUAL Clinical and Professional

$ 75.00 USD ORGANISATIONAL Non-profit/Charity/Educational Institution/Association

$100.00 USD ORGANISATIONAL Business/Corporate

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Membership Application

The application is so that we may assign your forum login and list your resource. You will be classified as either a clinical member or a professional member.

Clicking Submit will take you to payment and you will be prompted to pay for your membership through Google Checkout.

Online Therapy Institute Member Application
Contact information:

Organisation:

First name:

Last name:

Email address:

Website:

Mailing address:

Please provide detailed information requested:

I am applying for the following membership designation:

List your education including graduating institutions and number of years of education post bachelor degree:

List certifications and/or licenses held along with the name, address and phone of verifying organization:

List professional organizations to which you belong:

Is the profession of counseling regulated in your country?

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Are you able to practice independently in your country or jurisdiction?

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I have read and agree with OTI's membership qualifications and Terms of Use:

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DeeAnna Merz Nagel Kate Anthony www.deeannamerznagel.com www.kateanthony.co.uk online counseling online therapy

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