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

Directory Listing and Membership Application

The application is so that we may list your website in the OTI Web Directory. Questions about qualifications are for Clinical members.

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: For Clinical designation list your education including graduating institutions and number of years of education post bachelor degree: For Clinical designation 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? .. Are you able to practice independently in your country or jurisdiction? .. I have read and agree with OTI’s membership qualifications and Terms of Use: ..	.. ..