Join the Virginia Public Schools Behavior Analyst Network
Please complete the following form if you are interested in joining the Virginia Public Schools Behavior Analyst Network. Please note you MUST work for a public school division in Virginia or one of the VDOE sponsored centers. You must also either be a current behavior analyst or have started coursework to become a behavior analyst. Once you submit your request to join, your information will be reviewed to verify you eligibility to join the network. If you meet the criteria, you will be added to the network contact list. If you have any questions, please contact us at VAPSBAN@odu.edu 
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Email *
First Name *
Last Name *
E-mail Address (Please use your school division or official work address - this will be used to verify your eligibility to join the network) *
School Division (Please do NOT abbreviate) *
Which of the following best describes you? *
If you are currently a BCBA or BCaBA, please provide your BACB number. Please use the one that starts with 01-XX-XXXXX.
Please describe your current responsibilities within your role. Please check all that apply. *
Required
In what year did you obtain your certification as a behavior analyst? (If you are not yet a BCBA or BCaBA, please skip this question)
When did you begin working in public schools? *
What population do you serve? Please choose all that apply.
 *
Required
We have a member website that requires a Google-based e-mail address to access. Most school divisions have e-mails that work with Google products (e.g., Google Drive). If your school e-mail address is NOT compatible with Google, you will need to provide an alternate e-mail such as a gmail address. We will not use this e-mail address for anything other than accessing the member site and we will not share personal e-mail addresses. 

We will attempt to use your school provided e-mail unless you provide an alternative Google compatible e-mail. In order to access the member website, please provide your Google compatible e-mail address (most likely your work e-mail) here. 

Please note there may be a delay in your ability to access the member site as we have to manually enter these.
Member Directory: We have been asked by many of our members to create a member directory. This information will be available on our Member Website for members to access. This will include your name, school division, contact information, role, populations served, and your identified areas of interest. Please indicate whether you want your information included in the Member Directory.
 *
Please review the following areas of interest. These is not intended to be an exhaustive list. Please choose any/all of the areas that you are interested in. Others may contact you if they share similar interests to promote potential collaborations. Please feel free to add other areas as well.
Thank you!
Thank you for completing this form. We will review your responses and contact you if we have any questions. You will receive a copy of your responses once you submit this form. If you do not receive a copy of your responses, please check your junk/spam folder. If you still do not have a copy, the form likely did not submit correctly and it is suggested you resubmit the form. If you have additional questions, please contact Dr. Selena Layden at slayden@odu.edu.
A copy of your responses will be emailed to the address you provided.
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