Emeritus Member Application

Emeritus Member Application

Complete this form to request a status change to an Emeritus member.
Name: please include any credentials you'd like listed*

First NameLast Name
Email*
example@example.com
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.Once this status is granted, it cannot be reversed.
Affirmation:*
Speaking Engagements: I would like to be considered for speaking engagements*

YesNo
Writing Engagements: I would like to be considered for writing engagements*

YesNo
Public listing: Would you like this information to be publicly listed on the IAABC Website?*

YesNo
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: