Individual Membership Application

This form is for Individual Applicants only. If you are interested in our Agency, Corporate, Associate, Affiliate, Educational, or Library memberships, please use this link.

Name

First NameLast Name

Phone Number

undefinedFormat: (000) 000-0000.

Email

How did you hear about APPA?

Were you referred by someone? If so, please share their name so we can thank them and recognize their support in helping grow the APPA community!

Job Title

Agency/Organization

Major

College/University

Anticipated Graduation Date

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Length of Experience in Community Corrections

Professional Category

Primary Work Sector

Job Jurisdiction

Geographic Work Areas

My Products

Student Membership

$25.00

1-Year Individual Membership

$50.00

3-Year Individual Membership

$135.00

Lifetime Membership

$300

APPA members who have been an individual member for at least 10 years, served in an APPA leadership role, AND have 25 years of experience in community corrections. MUST have all 3 qualifications to purchase this level of membership.

Interested in purchasing a Lifetime membership? Contact us at appa.membership@csg.org

$300.00

Subtotal

Shipping

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

INDIVIDUAL Membership Application

Payment Information

My Products

We're excited to have you as part of our community! An APPA team member will be in touch soon with your onboarding details and tips on how to make the most of your membership.

INDIVIDUAL Membership Application

Payment Information

My Products*

We're excited to have you as part of our community! An APPA team member will be in touch soon with your onboarding details and tips on how to make the most of your membership.

My Products