CTABA Organizational Membership Application
The Connecticut Association for Behavior Analysis is a professional organization that seeks to assist in the development and advancement of the field of behavior analysis within the state of Connecticut through research, education, and dissemination of information.
As a professional organization, CTABA is dedicated to promoting the theoretical, experimental, and applied analysis of behavior across a wide array of applications and audiences.
Organizational Membership requires a commitment to the standards outlined above and to behavior analytic principles as demonstrated by:
• Specific reference to Applied Behavior Analysis in their organization's statement of purpose.
• Adherence to evidence based practices
• Demonstration that licensed and Board Certified Behavior Analysts are members of their clinical staff.
• Adherence to the Behavior Analyst Certification Board Professional and Ethical Compliance Code.
Organizational Membership candidates are subject to review upon receipt of application, will be required to attest to the above standards upon applying, and must continue to meet all requirements to remain in good standing.
* Required
Email address
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Your email
Organization Name
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Your answer
Organization Address
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Your answer
Contact Name / Title
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Your answer
Contact / Organization Phone Number
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Your answer
Contact / Organization Email
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Your answer
Organization Website
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Type of Business
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Non-Profit
For Profit
College / University
Please select all Membership Types you are interested in:
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Organizational Membership
Sustaining Sponsor
Platinum Sponsor
Required
Populations Served: (e.g., Developmentally Delayed, Autism, Graduate Students)
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Number of Employees / Faculty Members
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Your answer
Number of BCBAs / BCaBAs
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Please include a 50-word description of your organization and product or services (to be included on the CTABAweb site.)
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Your answer
Please submit a high resolution electronic copy of your organization’s logo (to be included on the CTABAWeb site) via email to
organizationalchair@ctaba.org
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Please remit payment via our website, or send check with the appropriate Organizational Membership dues to CTABA, PO BOX 5039,New Haven, CT 06525, Attn: Organizational Membership
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Thank you so much for participating with CTABA! Please let us know if you have any additional questions.
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A copy of your responses will be emailed to the address you provided.
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