OHABA Membership Application
Please take a minute to fill out the form below to tell us a little bit about yourself. After you select your membership level, please remember to head to shop.ohaba.org to complete your membership payment.
First Name *
Your answer
Last Name *
Your answer
Prefix
Your answer
E-Mail *
Your answer
Please Double Check your email *
Required
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Region of OHIO or Other States *
Please select the general region of Ohio or Other State where you work.
Required
Phone number
Your answer
Are you currently a BCBA?
If yes, please provide your BCBA number
Your answer
Are you currently a BCaBA?
If yes, please provide your BCaBA number
Your answer
Are you currently a COBA?
If yes, please provide your COBA number
Your answer
Other organizations that you belong to
Area of Work *
Required
Membership Category *
Full Member: An individual is eligible to be a Full Member of OHABA if they are a member of ABAI, are certified by the Behavior Analysis Certification Board (BACB), or are certified by the state of Ohio as a behavior analyst (e.g. COBA). Affiliate Member: An individual who does not meet the criteria for Full and/or Student member status. Student Member: An individual classified as a student in a program of study leading to a degree in Behavior Analysis or a related discipline, and/or enrolled in a BACB-approved program to meet course requirements for BACB certification. Verification of student status must be provided by an administrator or faculty member of the program in which the student is enrolled (include with this application).
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