Emeritus Member Application

Emeritus Member Application

Complete this form to request a status change to an Emeritus member.
Name: *

First NameLast Name
Membership Level*
Supporting or Certified
Credential (if any)
Email*
example@example.com
How many years have you been an IAABC member?*
What has your impact been in the industry?*
AFFIRMATION

I understand and agree that being accepted as an Emeritus member of the IAABC includes the following contingencies:

I have been a Certified member in good standing for at least 3 years who is now retiring from active practice.

I will no longer do behavior consultations for a fee.

I will maintain my credentials without any ongoing CEU requirements.

I will be required to pay annual dues unless I request a dues waiver.

I will remain a voting member of the IAABC.

I will be expected to contribute positively to the IAABC member community.

I may teach, lecture, publish, and mentor others.

I agree that as an Emeritus, I am ineligible to take addditional IAABC Credentialing exams.

Once this status is granted, it cannot be reversed.

I agree to verify my Emeritus status, speaking, writing, and appearance status, and dues status, yearly.
Affirmation:*
YesNo
YesNo
YesNo
File Upload - Picture for website*

Please include a picture of yourself that includes your face. You may or may not include an animal.
Cancelof
Dues Waiver Request: Optional - if you would like to request a dues waiver, please complete a statement below describing your justification. The Membership Director will consider waivers based on need, prior service to the IAABC, and contribution to the industry.
Should be Empty: