Affiliate Membership Application

Instructions

Thank you for your interest in joining CAPCSD. We strive to support, promote, and advance higher education programs in Communication Sciences and Disorders and we are excited to welcome you as an Affiliate Member.

Please complete the Affiliate Membership application for your program. Membership runs from July 1 - June 30 and the dues cover everyone in the academic program at no additional cost: faculty, clinic directors, and staff. Applications are accepted year-round and dues are not pro-rated.

We offer 2 types of membership:

Member - Communication Sciences and Disorders programs (associate's, bachelor's, minor, certificate, master's, and doctorate) with students currently enrolled. ($500 annual dues)
Affiliate - Communication Sciences and Disorders programs in the planning or development stage, that do not yet have students enrolled in any level. ($250 annual dues)

When entering the contact information, please use the program director/department chair name, email, and phone number.

Select An Option

Affiliate $500 Annually

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameOrganization Name

Please select a valid membership option and fee item if exist