Register Welcome! To begin the application process, please complete the following account registration form. This field is hidden when viewing the formUser LoginBefore completing this form, please be sure that you do not already have an account for our website. Only one account per user is permitted. Having more than one is strictly prohibited for numerous reasons. Contact us if you're not sure. Thank you! This field is hidden when viewing the formUser Role(s)Warning: You are already logged into our site. As such, you should probably not complete this form. This form is designed primarily for people who do not yet have accounts. Please proceed only if you are certain that you're in the right place. Contact us if you're not sure.This field is hidden when viewing the formManual OverrideCheck this box to manually override the default logic and allow this registration form to be processed. Yes, this is an exception case. This field is hidden when viewing the formNotes(Required)Please explain the reason for the manual override.This field is hidden when viewing the formManual Override ProcessedThis field is programmatically set to Yes after a manual override has been processed. Yes No Are you already board certified in one or more ABPP specialties?(Required) No, I am not yet board certified by ABPP. Yes, I am already ABPP board certified in one or more specialties. Thank you for your response! Since you are already board certified with ABPP, you should not complete this form. Instead, please login and click on the link for Additional Specialty Registration.ProfileName(Required) First Middle Last Did you previously apply to ABPP on our old website under the early entry option and pay a $25 fee?(Required)Note: This will not apply to most people. A subset of individuals applied on our old system and have been asked to re-apply here. Please select YES only if you are reasonably certain of your answer. Selecting YES if this does not apply to you will delay your application. No, I did not previously apply to ABPP under its old system as an early entry applicant. Yes, I previously applied to ABPP under the old system's early entry option, paid a $25 fee, and received an email asking me to reapply on this site. Did you previously apply to ABPP on our old website through a different option (not early entry)?(Required)Note: This also will not apply to most people. A subset of individuals applied on our old system and have been asked to re-apply here. Please select YES only if you are reasonably certain of your answer. Selecting YES if this does not apply to you will delay your application. No, I did not previously apply to ABPP under its old system through an option besides early entry. Yes, I previously applied to ABPP under the old system (but not under the early entry option) and received an email asking me to reapply on this site. This field is hidden when viewing the formDate Application StartedPlease enter the date that this person started an application in our old system (if known).MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Former Name (If Applicable)You indicated that you applied to ABPP under our old system. If you had a different name at that time, please enter it here to help us locate your record. First Last Informal NameOrganizationTitleMailing Address Type(Required) United States Canada International Address (USA)(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Address (Canada)(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Address (International)(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Phone Number Type(Required)Click to SelectCellWorkHomeFaxPhone (International)(Required)Fax (International)Email and Account InformationImportant Notice Regarding Email Communication All (or nearly all) communication with ABPP regarding your application will occur through email. As such, please use an email address for your account (see below) that does not block messages from abpp.org. Use of a personal email address (such as Gmail) is recommended over an employer-provided email address since the latter may sometimes block messages without your knowledge. In particular, please be sure that your email address will accept messages from website@abpp.org and office@abpp.org. Once you submit this registration form, you will receive a confirmation email within about one minute. If you do not receive it, please check your bulk, junk, or spam folder in case your email provider wrongly routed it there, be sure to unmark it as spam, and add us to your safe senders list.I have read the email notice above and am aware that it is my responsibility to use an email address able to receive messages from abpp.org.(Required) Yes, I acknowledge this statement. Email(Required) Enter Email Confirm Email Secondary Email Enter Email Confirm Email Username(Required)Password(Required) Enter Password Confirm Password Strength indicator This field is hidden when viewing the formEnd of Email and Account InformationEmployed by the Department of Veterans Affairs(Required) Yes No Member of the Uniformed Services(Required) Yes No Military(Required) Yes No Date of Birth(Required)This information is used for identification purposes. Month Day Year How did you hear about ABPP?(Required)Please check all that apply. ABPP Foundation Colleague Conference Current/former mentor Fellow student, intern, or resident Professor Required for my job Social media Training director Website Other How did you hear about ABPP (other)?(Required)Please elaborate.To which specialty board are you applying?(Required)Click to SelectAmerican Board and Academy of Psychoanalytic and Psychodynamic Psychology (ABAPPP)American Board of Addiction Psychology (ABAP)American Board of Behavioral and Cognitive Psychology (ABBCP)American Board of Clinical Child and Adolescent Psychology (ABCCAP)American Board of Couple and Family Psychology (ABCFP)American Board of Clinical Health Psychology (ABCHP)American Board of Clinical Neuropsychology (ABCN)American Board of Clinical Psychology (ABCP)American Board of Counseling Psychology (ABCoP)American Board of Forensic Psychology (ABFP)American Board of Geropsychology (ABGERO)American Board of Group Psychology (ABGP)American Board of Organizational and Business Consulting Psychology (ABOBCP)American Board of Police and Public Safety Psychology (ABPPSP)American Board of Rehabilitation Psychology (ABRP)American Board of Serious Mental Illness Psychology (ABSMIP)American Board of School Psychology (ABSP)This field is hidden when viewing the formSenior OptionClick to SelectYesNoApplication Type SelectionAll of my graduate education and training, including my doctoral program and internship, occurred or will occur in North America.(Required) Yes No This field is hidden when viewing the formCurrent YearI have completed an internship in psychology.(Required) Yes No At the time I completed my internship, the program was:(Required) Accredited by APA or CPA Listed in the APPIC Directory Both APA/CPA accredited and listed in the APPIC Directory None of the above Year of Internship Completion(Required)I have completed a doctoral degree in psychology.(Required) Yes No My doctoral program was/is accredited by APA or CPA.(Required)If you completed your doctoral degree, please answer this question in terms of your program's status at the time of your graduation. Yes No My doctoral program met/meets ASPPB designation criteria.(Required)If you completed your doctoral degree, please answer this question in terms of your program's status at the time of your graduation. Yes No Year Doctoral Degree Completed(Required)Did your doctoral program become APA/CPA accredited by 2020?(Required) Yes No This field is hidden when viewing the formYears Since Doctoral DegreeDid you complete a postdoctoral training program in professional psychology that was APA accredited at the time you completed it?(Required) Yes No I am independently licensed as a psychologist at the doctoral level in at least one state, province, or territory.(Required) Yes No Year of First Psychologist License(Required)We're sorry, but you appear to have entered invalid data. You indicated that you are independently licensed as a psychologist but did not complete an internship in psychology. Completion of an internship is required for ABPP certification.I am a training director at an APA/CPA accredited doctoral program, internship site, or postdoctoral program.(Required) Yes No Name of Institution or Program(Required)You indicated that you are a training director at an APA/CPA accredited doctoral program, internship site, or postdoctoral program. Please indicate the name of your institution or program.This field is hidden when viewing the formYears Since First LicensureThis field is hidden when viewing the formDoctoral Program Meets CriteriaDoctoral degree program is APA/CPA accredited or meets ASPPB criteria. Yes No This field is hidden when viewing the formInternship Program Meets Criteria Yes No This field is hidden when viewing the formApplication Has Deficiency Yes No This field is hidden when viewing the formConfirmation of Application DeficiencyDoctoral program and/or internship program are deficient AND applicant's training occurred entirely within North America. Disallow advancement to general application. Yes No This field is hidden when viewing the formApplication Type Early Entry Applicant Early Career Applicant Regular Applicant Senior Applicant This field is hidden when viewing the formAlready Board CertifiedThis field is hidden when viewing the formLicensedThis field is hidden when viewing the formTraining DirectorDemographicsThe following demographic data will provide helpful information to ABPP.Sex Male Female Intersex Prefer to not answer Other Gender Man Woman Non-Binary Transgender Prefer to not answer Other EthnicityAre you Hispanic or Latinx? Yes No Hispanic or LatinxFeel free to specify. Mexican or Mexican American Chicano Puerto Rican Cuban Other Do you identify as Arab, Middle Eastern, or North African (AMENA)? Yes No Race Caucasian/European American/White Black/African American Asian American Indian/Alaska Native/Indigenous Native Hawaiian/Pacific Islander Multi Racial/Multi Ethnic Prefer to not answer Other Nationality US Citizen or permanent resident in USA Canadian citizen or permanent resident in Canada Other Sexual Orientation Heterosexual Gay Male Lesbian Bisexual Asexual Prefer to not answer Other Religious Beliefs Religious/spiritual Spiritual but not religious Agnostic Atheist None Prefer to not answer Other Physical/Sensory Impairments or DisabilitiesPlease check all that apply. Vision Hearing Ambulatory/Mobility Speech or Communication Cognitive/Learning Psychological Other Other Physical/Sensory Impairments or DisabilitiesFeel free to specify.
