1
20202021 Individual Membership Application
For the term September 1, 2020August 31, 2021
Demographic Data
Contact Information
SALUTATION (required):
Dr. Prof. Ms. Mrs. Mr. Mx.
______________________________________
FIRST NAME (required)
______________________________________
PREFERRED FIRST NAME (NICKNAME)
______________________________________
MIDDLE NAME
______________________________________
LAST NAME (required)
______________________________________
DATE OF BIRTH
______________________________________
AFFILIATION (required)
MAILING ADDRESS (required):
Do not include in member directory.
Electronic Delivery (No Print Mailing)
Digital access to Inside Behavior Analysis only
Digital access to Journals only
______________________________________
STREET
______________________________________
CITY
______________________________________
STATE/PROVINCE
______________________________________
POSTAL/ZIP CODE
______________________________________
COUNTRY
______________________________________
CITIZENSHIP (required)
______________________________________
EMAIL (required)
______________________________________
WORK TELEPHONE
______________________________________
HOME TELEPHONE
______________________________________
CELL
______________________________________
FAX
Reason(s) for Membership (required)
I am pleased with ABAI services.
Encouraged by university program/school.
Family members exposed to behavioral
treatment.
Maintain certification status.
Obtain Perspectives on Behavior Science.
General interest in behavior analysis.
Required by employer.
Other ______________________________
Referred by a colleague:
______________________________________
COLLEAGUE NAME
______________________________________
COLLEAGUE AFFILIATION
Research Information
During the past 12 months have you served as a
member of a grant review committee?
Yes No
During the past 12 months did you receive funding for
behavioral research?
Yes No If No, skip 13, below
NOTE: This information may be shared with persons or
agencies/organizations engaged in efforts to support
and promote behavioral research.
1. What source provided the funding?
_____________________________________
2. What was the amount of funding?
$ _________________ over ___________ year(s)
3. What is the subject of your funded research?
_________________________________
Languages Spoken
First Language__________________________
Second Language_______________________
Third Language________________________
Position Title (required)
Administrator
Student
Consultant/Staff Trainer
Parent
Professor/Academic
Psychologist/Therapist
Researcher
School Teacher
Social Worker
Speech/Language Pathologist
Other _____________________________
Primary Activity (required)
Administrative/Management
Clinical/Therapeutic Service
Consulting
Research
Social Service
Staff/Parent Training
Teaching/(higher education)
Teaching/(k-12)
Training/Continuing Education
N/A (I am retired, a student, not employed etc.)
Other ___________________________
Primary Discipline (required)
Check just one box that most closely describes your
field of study:
BA: Applied Behavior Analysis
BA: Behavior Theory and Philosophy
BA: Experimental Analysis of Behavior
BA: Organizational Behavior Management (OBM)
Counseling
Education
Medicine
Neuroscience
Psych: Behavioral Psychology
Psych: Clinical Psychology
Psych: Counseling Psychology
Psych: Developmental Psychology
Psych: Educational Psychology
Psych: Experimental Psychology
Psych: Industrial/Organizational Psychology
Psych: School Psychology
Psych: Social Psychology
Psychiatry
Public Policy and Administration
Rehabilitation/Rehabilitation Science
Social Work
Sociology
Special Education
Speech Pathology/Speech-Language-Hearing
Sciences
Other __________________________
Annual Income Range
<$15,000
$15,000$35,000
$35,001$55,000
$55,001$75,000
$75,001$100,000
$100,001$150,000
>$150,000
Do not wish to share data.
Education History:
MOST RECENT DEGREE COMPLETED (required)
_______________________________________
YEAR (required)
_______________________________________
CONFERRING INSTITUTION (required)
Certification
Are you a certified behavior analyst?
Yes No If yes, by whom:
_______________________________________
CERTIFYING INSTITUTION
_______________________________________
CERTIFICATION NUMBER
Please note that the following three fields will be used
by ABAI only to track diversity in our membership.
Answers are confidential.
Gender Identity (required)
Androgynous Cisgender Female Cisgender
Male Gender Fluid Transgender Other
Prefer not to answer
Sexual Orientation (required)
Asexual Bisexual Gay Heterosexual
Pansexual Other
Prefer not to answer
Race/Ethnicity (required)
Asian/Pacific Islander Black or African/African
descent Indigenous/First Nations
Latinx/Hispanic White Other
Prefer not to answer
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20202021 Individual Membership Application
For the term September 1, 2020August 31, 2021
Demographic Data
Special Interest Groups (SIGs)
Please indicate the SIGs to which you belong.
(required)
Please indicate the SIGs which you are
interested in receiving more informarion.
(required)
Email Notifications:
Please identify all the categories of information you wish to receive
from ABAI (required).
Annual Convention and CFS
Autism Conference and CFS
Core and Translational Science
Educational Issues
Journals
Membership News and Alerts (required)
Other Conference and CFS
Practice
Affiliated Chapters
Please indicate the ABAI chapters to which you
belong. (required)
Affiliated Chapters
Please indicate the ABAI chapters which you are
interested in receiving more informarion.
(required)
Volunteer
Participation is needed on ABAI boards and committees. Please
indicate where you would like to volunteer:
Accreditation Board
Affiliated Chapters Board
Membership Board
Membership Board/Application Review Committee
Membership Board/Student Committee
Practice Board
Program Board
Publications Board
Science Board
VCS Board
None
Acceptance and Commitment Training
Addiction
Applied Animal Behavior
Autism
Behavior Analysis and Selectionist Robotics
Behavior Analysis and Technology
Behavior Analysis and the Arts
Behavior Analysis in Military and Veterans’ Issues
Behavior Analysis SIG on Supervision
Behavioral Development
Behavioral Gerontology
Behavioral Medicine
Behaviorists for Social Responsibility
Clinical
Crime, Delinquency, and Forensic Behavior Analysis
Culture and Diversity
Dissemination of Behavior Analysis
Ethics and Behavior Analysis
Experimental Analysis of Human Behavior
Gambling
Health, Sport, and Fitness
History of Behavior Analysis
Neuroscience
Organizational Behavior Management Network
Pediatric Feeding Disorders
Positive Behavior Support
Practitioner Issues in Behavior Analysis
Rehabilitation and Independent Living
Sexual Behavior: Research and Practice
SIG Español
Speech Pathology
Standard Celeration Society
Substance Use Disorders
Teaching Behavior Analysis
Theoretical, Philosophical, and Conceptual Issues
None
Acceptance and Commitment Training
Addiction
Applied Animal Behavior
Autism
Behavior Analysis and Selectionist Robotics
Behavior Analysis and Technology
Behavior Analysis and the Arts
Behavior Analysis in Military and Veterans’ Issues
Behavior Analysis SIG on Supervision
Behavioral Development
Behavioral Gerontology
Behavioral Medicine
Behaviorists for Social Responsibility
Clinical
Crime, Delinquency, and Forensic Behavior Analysis
Culture and Diversity
Dissemination of Behavior Analysis
Ethics and Behavior Analysis
Experimental Analysis of Human Behavior
Gambling
Health, Sport, and Fitness
History of Behavior Analysis
Neuroscience
Organizational Behavior Management Network
Pediatric Feeding Disorders
Positive Behavior Support
Practitioner Issues in Behavior Analysis
Rehabilitation and Independent Living
Sexual Behavior: Research and Practice
SIG Español
Speech Pathology
Standard Celeration Society
Substance Use Disorders
Teaching Behavior Analysis
Theoretical, Philosophical, and Conceptual Issues
ABA España (ABA Spain)
ABA Germany
ABA India
ABA Lebanon
ABA of Brazil
ABA of Italy (IESCUM)
ABA Saudi Arabia
ABA Switzerland
ABA Turkey
ABA United Arab Emirates
Alabama ABA
Alaska ABA
Alberta ABA
Arizona ABA
Arkansas ABA
Association for Behavior Analysis in Nigeria
Association for Maine Behavior Analisys
Association for the Advancement of Radical Behavior Analysis (Italy)
Association Française—Les Professionnels de l’Analyse du Comportement
Atlantic Provinces ABA (Canada)
Australian Association for Cognitive Behaviour Therapy
Behavior Analysis Association of Michigan
Behavior Analysis Association of Mississippi
Behaviour Analysis in Ireland
Berkshire Association for Behavior Analysis and Therapy
Bermuda ABA
British Columbia ABA
California ABA
Caribbean ABA
Central China ABA
Chinese ABA
Colorado ABA
Connecticut ABA
Delaware ABA
District of Columbia ABA
Experimental Analysis of Behaviour Group UK and Europe
Florida ABA
Four Corners ABA
French ABA
Georgia ABA (USA)
Hawai’i ABA
Heartland ABA
Hong Kong ABA
Hoosier ABA
Icelandic ABA
Illinois ABA
Iowa ABA
Israel ABA
Japanese ABA
Jordanian ABA
Kansas ABA
Kentucky Association for Behavior Analysis
Kenya ABA
Korean ABA
Korean Association of Child and Adolescent Behavior Therapy
Lone Star ABA (Houston area)
Louisiana Behavior Analysis Association
Manitoba ABA
Maryland ABA
Massachusetts ABA
Mid-American ABA
Minnesota Northland ABA
Missouri ABA
Montana ABA
Nebraska ABA
Nevada ABA
New Hampshire ABA
New Jersey ABA
New York State ABA
New Zealand ABA
North Carolina ABA
Norwegian ABA
Ohio ABA
Oklahoma ABA
Ontario ABA
Oregon ABA
Pennsylvania ABA
Philadelphia Metropolitan ABA
Philippines ABA
Polish Association of Behavioral Therapy
Polish Society for Behavioral Psychology
Québec ABA
Rhode Island ABA
Sociedad Mexicana de Análisis de la Conducta (Mexican ABA)
South Carolina ABA
Southeastern ABA
Swedish ABA
Taiwan ABA
Tennessee ABA
Texas ABA
Utah ABA
Vermont ABA
Virginia ABA
Washington ABA
West Virginia Behavior Analysis Association
Wisconsin ABA
ABA España (ABA Spain)
ABA Germany
ABA India
ABA Lebanon
ABA of Brazil
ABA of Italy (IESCUM)
ABA Saudi Arabia
ABA Switzerland
ABA Turkey
ABA United Arab Emirates
Alabama ABA
Alaska ABA
Alberta ABA
Arizona ABA
Arkansas ABA
Association for Behavior Analysis in Nigeria
Association for Maine Behavior Analisys
Association for the Advancement of Radical Behavior Analysis (Italy)
Association Française—Les Professionnels de l’Analyse du Comportement
Atlantic Provinces ABA (Canada)
Australian Association for Cognitive Behaviour Therapy
Behavior Analysis Association of Michigan
Behavior Analysis Association of Mississippi
Behaviour Analysis in Ireland
Berkshire Association for Behavior Analysis and Therapy
Bermuda ABA
British Columbia ABA
California ABA
Caribbean ABA
Central China ABA
Chinese ABA
Colorado ABA
Connecticut ABA
Delaware ABA
District of Columbia ABA
Experimental Analysis of Behaviour Group UK and Europe
Florida ABA
Four Corners ABA
French ABA
Georgia ABA (USA)
Hawai’i ABA
Heartland ABA
Hong Kong ABA
Hoosier ABA
Icelandic ABA
Illinois ABA
Iowa ABA
Israel ABA
Japanese ABA
Jordanian ABA
Kansas ABA
Kentucky Association for Behavior Analysis
Kenya ABA
Korean ABA
Korean Association of Child and Adolescent Behavior Therapy
Lone Star ABA (Houston area)
Louisiana Behavior Analysis Association
Manitoba ABA
Maryland ABA
Massachusetts ABA
Mid-American ABA
Minnesota Northland ABA
Missouri ABA
Montana ABA
Nebraska ABA
Nevada ABA
New Hampshire ABA
New Jersey ABA
New York State ABA
New Zealand ABA
North Carolina ABA
Norwegian ABA
Ohio ABA
Oklahoma ABA
Ontario ABA
Oregon ABA
Pennsylvania ABA
Philadelphia Metropolitan ABA
Philippines ABA
Polish Association of Behavioral Therapy
Polish Society for Behavioral Psychology
Québec ABA
Rhode Island ABA
Sociedad Mexicana de Análisis de la Conducta (Mexican ABA)
South Carolina ABA
Southeastern ABA
Swedish ABA
Taiwan ABA
Tennessee ABA
Texas ABA
Utah ABA
Vermont ABA
Virginia ABA
Washington ABA
West Virginia Behavior Analysis Association
Wisconsin ABA
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Members of ABAI enjoy reduced convention and conference registration fees; subscriptions to the ABAI member publication, Inside
Behavior Analysis; free résumé posting on ABAI’s job board; access to apply for competitively priced professional liability insurance; and
access to online membership services through the ABAI portal. Additional benefits are described under each member type, below.
20202021 Individual Membership Application
For the term September 1, 2020August 31, 2021
Demographic Data
Student Members
Student membership is for full-time undergraduate or
graduate students, residents, or interns.
Additional Benefit: Subscription to the journal
Perspectives on Behavior Science.
Requirement: Send proof of current full-time student,
intern, or resident status, or complete the verification
of current full-time student status” section below.
Students who do not send proof with their applications
may be classified as Affiliate members until verification
is received.
Student Type (required)
Highschool Undergraduate Masters
Doctoral Post Doctoral
VERIFICATION of current full-time student status:
I, _______________________ (university official),
certify the applicant is a current full-time student, intern,
or resident at:
_________________________________________
INSTITUTION NAME (UNIVERSITY)
_________________________________________
PROGRAM NAME / DEGREE NAME
_________________________________________
EXPECTED GRADUATION DATE
_________________________________________
OFFICIAL’S SIGNATURE
_________________________________________
APPLICANT’S NAME
_________________________________________
DATE
Upon Graduation I will have earned:
Highschool Undergraduate Masters
Doctoral Post Doctoral
Date you be looking for a job:
_________________________________________
Date you be looking for an internship:
_________________________________________
Date you be Attending graduate school:
_________________________________________
Area of Primary interest:
Applied Animal Behavior Autism Behavioral
Pharmacology and Neuroscience Clinical, Family,
Behavioral Medicine Community Interventions;
Social & Ethical Issues Developmental Disabilities
Experimental Analysis of Behavior Education
Lifespan Development OBM Teaching Behavior
Analysis Teaching Behavior Analysis Theoretical,
Philosophical, Conceptual Issues Verbal Behavior
Other
Chapter/Adjunct Members
Chapter/Adjunct membership is for individuals who are
members of an ABAI-affiliated chapter.
Requirement: Send proof (e.g., membership fee
receipt, copy of member card, verification letter) from
the chapter confirming current membership, or
complete the “verification of ABAI-affiliated chapter
membership” section below. If purchasing a 3-year
membership, proof must be sent annually at the time of
ABAI membership renewal.
VERIFICATION of ABAI-affiliated chapter membership:
I, ________________________ (chapter official), have
proper knowledge and authority to verify that the
applicant is a member of the following chapter:
_________________________________________
ABAI-AFFILIATED CHAPTER
_________________________________________
DATE
_________________________________________
CHAPTER OFFICIAL’S SIGNATURE
_________________________________________
APPLICANT’S NAME
First-Time Members
For those who have never been members of ABAI,
First-Time membership is a limited membership status
offered for 2021. First-Time membership includes a
free electronic subscription to Behavior Analysis in
Practice and discounted pricing on other ABAI journals,
as well as additional discounted services. First-Time
membership does not include participation in ABAI
governance or discounted pricing on ABAI events.
Affiliate Members
Affiliate membership is for individuals who have an
interest in behavior analysis or have earned
undergraduate credit but do not meet the Full member
requirements. Dues help support the involvement of
undergraduate and graduate students in the science
and practice of behavior analysis.
Additional Benefit: Subscription to the journal
Perspectives on Behavior Science.
Supporting and Sustaining Affiliate
Members
Supporting and Sustaining Affiliate memberships
provide additional support to encourage the
involvement of undergraduate and graduate students in
the science and practice of behavior analysis through
increased membership dues.
Additional Benefits: Citation in Inside Behavior
Analysis and the convention program book.
Emeritus Affiliate Members
Emeritus Affiliate membership is for individuals who
have not been approved for Full membership status
and are 65 or older.
Requirement: Send verification of age when applying
for this status for the first time.
Full Members
Full membership dues help support the involvement of
undergraduate and graduate students in behavior
analysis.
Additional Benefits: Voting rights on ABAI business
matters, participation in the nomination and election of
officers, and a subscription to the journal Perspectives
on Behavior Science.
NOTE: Renewing Full members do not need to submit
the Full membership application as long as their
membership is not one year past due. If membership
has lapsed for one year (term), renewing Full members
will have to submit the Full membership application to
be reviewed by the Application Review Committee
(ARC).
Requirements: Demonstration of substantive
contributions to behavior analysis as outlined on the
following pages. Full membership applications are
reviewed for eligibility by the ARC. First-time Full
membership applicants and lapsed Full members will
be classified as Affiliate members until a decision has
been made by the ARC. Payment of dues is understood
as acceptance of Affiliate membership status for that
membership year. Full membership is at the discretion
of the ARC and is based upon materials submitted in
the Full member application as understood and
interpreted by the ARC. When applying for this status,
submit all information indicated on the following pages.
NOTE: Incomplete applications for Full member status
will result in assignation of Affiliate membership.
Please submit documentation as described in this
form, as relevant.
Applicants failing to submit required documentation
may not reapply for Full membership until the following
membership cycle.
Supporting and Sustaining Full
Members
Supporting and Sustaining Full memberships provide
additional support to encourage the involvement of
undergraduate and graduate students in the science
and practice of behavior analysis through increased
membership dues.
Additional Benefits: Citation in Inside Behavior
Analysis and the convention program book.
Emeritus Full Members
Emeritus Full membership is for individuals who have
been approved for Full membership status and are 65
or older.
Requirement: Send verification of age when applying
for this status for the first time.
NEW! Student Transition Members
Student Transition membership is for those who have
recently graduated from an undergraduate or graduate
program. Student Transition membership includes
voting rights for student representation on the
Executive Council and Student member pricing on ABAI
events and publications.
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Full membership applications are reviewed for eligibility by the ABAI Application Review Committee (ARC). When applying for Full
membership status, applicants will be classified as Affiliate members until a decision has been made by the ARC. Payment of dues for the
membership year is understood as acceptance of Affiliate membership status for that membership year. Full membership is at the discretion
of the ARC and is based upon materials submitted in the Full member application as understood and interpreted by the ARC.
Note: Incomplete applications will be rejected without review. Applicants failing to submit required documentation may not reapply
until the next membership year.
20202021 Individual Membership Application
Full Membership Categories 1 and 2
CATEGORY 1: Graduate of ABAI-
accredited graduate program
I have a master’s or doctoral degree from an ABAI-
accredited program and am providing the following
information and documentation:
Date degree conferred
Description of research activities.
Proof of program completion (e.g., copy or
scan of diploma)
CATEGORY 2: Graduate of
master’s or doctoral program in
behavior analysis, psychology, or a
related discipline
I am a graduate of a non-ABAI-accredited master’s
or doctoral program in behavior analysis,
psychology, or a related discipline and am
providing the following information and
documentation:
Master's or doctorate in behavior analysis or
related discipline
o Date degree conferred
o Degree-conferring institution
Title of master's thesis, doctoral dissertation,
or project
150250-word abstract of master's thesis,
doctoral dissertation, or project involving:
o Experimental analysis of behavior
o Applied analysis of behavior
o Conceptual/theoretical/philosophical
behavior analytic scholarship
o Science of behavior analytic practice
(i.e., systematic evaluation of behavioral
interventions)
A formal research document (e.g., published
manuscript, a formal thesis, or a poster
presented at a scientific meeting)
List of 18 semester credit hours (or quarter
system equivalent) of coursework in behavior
analysis. Indicate university or universities
where courses were taken.
Minimum 150-word description of research
activities
Research advisor's name, university, and
current email address
NOTE: Unsupervised job experience does not meet the requirement for supervised research experience.
Incomplete applications for Full member status will result in assignation of Affiliate membership.
Applicants failing to submit required documentation may not reapply for Full membership until the
following membership cycle.
Print Your Name:
_______________________________________________________________________________
Select one category to the left, then complete the steps below and submit required documentation for
your selected category along with a completed 2021 membership form to the ABAI office for review by
the ARC (all steps are required).
DEGREE NAME ____________________________________________________________________
DATE DEGREE CONFERRED__________________________________________________________
DEGREE-CONFERRING INSTITUTION ___________________________________________________
TITLE OF THESIS OR DISSERTATION ___________________________________________________
Please attach the abstract (approximately 150250 words) of your thesis, dissertation, or project
(the version on record, not a published version).
Faculty-supervised experience in basic and/or applied research and/or systematic evaluation of
behavioral interventions.
_______________________________________
Total Hours
SUPERVISING FACULTY ___________________________________________________________
UNIVERSITY ____________________________________________________________________
BEGINNING/ENDING DATES _______________________________________________________
CURRENT EMAIL ADDRESS OF SUPERVISOR __________________________________________
SUPERVISING FACULTY ___________________________________________________________
UNIVERSITY ____________________________________________________________________
BEGINNING/ENDING DATES ________________________________________________________
CURRENT EMAIL ADDRESS OF SUPERVISOR __________________________________________
Add same information for other faculty supervisors, as needed.
Describe your activities in basic or applied analysis of behavior (approximately 150 words).
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Full membership applications are reviewed for eligibility by the ABAI Application Review Committee (ARC). When applying for Full
membership status, applicants will be classified as Affiliate members until a decision has been made by the ARC. Payment of dues for the
membership year is understood as acceptance of Affiliate membership status for that membership year. Full membership is at the discretion
of the ARC and is based upon materials submitted in the Full member application as understood and interpreted by the ARC.
Note: Incomplete applications will be rejected without review. Applicants failing to submit required documentation may not reapply
until the next membership year.
20202021 Individual Membership Application
Full Membership Category 3
CATEGORY 3:
I do not meet the above requirements but am
applying for Full membership on the basis of my
substantive contributions to behavior analysis.
Select either Area ASignificant contributions to
behavior analytic research, or Area BMinimum of
five years post-licensure or post-certification
behavior analytic practice.
Area A
Please provide the following:
Vitae or reference list in English of all
behavior analytic publications
PDF of two examples of published papers to
which you were a significant contributor
Names, emails, phone numbers, and mailing
addresses of two ABAI Full members who can
comment on the significance of these
contributions to knowledge in behavior
analysis
Area B
Please provide the following:
Licensing or certifying body
Date of license or certification
Behavioral courses completed during or after
degree program, including course title,
semester credit hours (SCH), institution, and
date
Brief description of your sustained practice
and its empirical basis
Two case reports (personal information
redacted) describing behavior analytic
treatment implemented, goals achieved, and
behavioral data (numerical or graphic)
showing behavior change prepared for upload
Names, emails, phone numbers, and mailing
addresses of two ABAI Full members who can
comment on the significance of these
contributions to knowledge in behavior
analysis
NOTE: Unsupervised job experience does not meet
the requirement for supervised research experience.
Incomplete applications for Full member status will
result in assignation of Affiliate membership.
Applicants failing to submit required documentation
may not reapply for Full membership until the
following membership cycle.
Print Your Name:
_______________________________________________________________________________
Complete the steps below for either area A or B (detailed to the left), and submit required documentation
along with a completed 2021 membership form to the ABAI office for review by the ARC (all steps
required).
Area A: Significant Contributions to Behavior Analytic Research
Post-master’s or post-doctoral behavior analytic research culminating in publication of empirical
research, lecture reviews, or conceptual analyses in well-cited peer-reviewed journals, chapters, or
books.
Please attach the following:
o Vitae or reference list of behavior analytic publications.
o PDF of two published papers to which you were a significant contributor.
Names and contact information of two professional references who can comment on these
contributions to behavior analysis:
ABAI Full member #1:
NAME _______________________________________________________________________
PHONE __________________________EMAIL ______________________________________
MAILING ADDRESS ___________________________________________________________
ABAI Full member #2:
NAME ______________________________________________________________________
PHONE __________________________EMAIL ______________________________________
MAILING ADDRESS ___________________________________________________________
Area B: Significant Contributions to Behavior Analytic Practice: 5 years behavior analytic
practice post-licensure or certification
Attach information about behavioral courses completed during or after degree program and include:
o Course title
o SCH
o Institution
o Date
Please attach the following:
o Brief description of your sustained practice and its empirical basis.
o Two case reports (personal information redacted) describing behavior analytic treatment
implemented, goals achieved, and behavioral data (numerical or graphic) showing
behavior change.
Names and contact information of two professional references who can comment on these
contributions to behavior analysis:
ABAI Full member #1:
NAME ________________________________________________________________________
PHONE __________________________EMAIL _______________________________________
MAILING ADDRESS ____________________________________________________________
ABAI Full member #2:
NAME _______________________________________________________________________
PHONE __________________________EMAIL ______________________________________
MAILING ADDRESS ___________________________________________________________
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MEMBERSHIP DUES FOR RENEWING AND NEW MEMBERS (Prices will increase on 12/11/2020)
Region A
Region B
Region C
Region D
2021
20212023
2021
20212023
2021
20212023
2021
20212023
First-Time
$84
NA
$84
NA
$84
NA
$84
NA
Student/NEW! Transitioning Student
$84
NA
$75
NA
$75
NA
$75
NA
Chapter/Adjunct
$84
$252
$75
$225
$75
$225
$75
$225
Affiliate or Full* Emeritus
$84
$252
$75
$225
$75
$225
$75
$225
Affiliate
$191
$573
$143
$430
$115
$344
$76
$229
Full*
$191
$573
$143
$430
$115
$344
$76
$229
Supporting Affiliate or Supporting Full*
$255
$765
$191
$574
$153
$459
$102
$306
Sustaining Affiliate or Sustaining Full*
$476
$1,428
$357
$1,071
$286
$857
$199
$571
*First-time Full member applicants and lapsed Full member renewal applicants have additional requirements. Please submit relevant documentation.
NOTE: Membership terms are September 1 through August 31.
Membership Type
Please check your preferred member type below.
Student/Transitioning Student
Chapter/Adjunct
Affiliate Emeritus or Full* Emeritus
Affiliate
Full*
Supporting Affiliate
Supporting Full*
Sustaining Affiliate
Sustaining Full*
First-Time
*First-time Full member applicants and lapsed
renewing Full member applicants have additional
requirements. Please submit relevant
documentation.
Membership Discounts
ABAI offers discounted fees for members with
permanent residency in countries with per capita
income of less than 75% of that of the United
States. ABAI determines members’ permanent
residency based on their mailing addresses. Fees
have been divided into four categories. Income per
capita information was obtained from the World
Bank Group, 2019. Source data are available at
http://data.worldbank.org/data-catalog/GNI-per-
capita-Atlas-and-PPP-table. If your resident country
is not listed, but you believe you qualify for reduced
dues based on its income per capita, contact the
ABAI office.
Membership Fee Regions
Region A: For countries with income per capita of
75%100% or more of the US, including American
Samoa, Andorra, Australia, Austria, Bermuda,
British Virgin Islands, Channel Islands, Denmark,
Faroe Islands, Finland, Gibraltar, Guam, Hong Kong,
Iceland, Ireland, Isle of Man, Liechtenstein,
Luxembourg, Macao, Monaco, Netherlands,
Norway, Qatar, Singapore, Sint Maarten (Dutch
portion), St. Martin (French portion), Sweden,
Switzerland, and the U.S. Virgin Islands.
Region B: For countries with income per capita of
50%74% of the US, including Belgium, Canada,
Cayman Islands, France, Germany, Israel, Italy,
Japan, Korea, Rep., Kuwait, New Zealand, United
Arab Emirates, and the United Kingdom.
Region C: For countries with income per capita of
25%49% of the US, including Antigua and
Barbuda, Aruba, The Bahamas, Bahrain, Barbados,
Brunei Darussalam, Curaçao, Cyprus, Czech
Republic, Estonia, Greece, Hungary, Latvia,
Lithuania, Malta, Palau, Portugal, Puerto Rico,
Saudi Arabia, Seychelles, Slovak Republic,
Slovenia, Spain, St. Kitts and Nevis, Trinidad and
Tobago, Turks and Caicos Islands, and Uruguay.
Region D: For countries with income per capita of
<25% of the US, including Afghanistan, Albania,
Algeria, Angola, Argentina, Armenia, Azerbaijan,
Bangladesh, Belarus, Belize, Benin, Bhutan, Bolivia,
Bosnia and Herzegovina, Botswana, Brazil, Bulgaria,
Burkina Faso, Burundi, Chile, China, Colombia,
Costa Rica, Croatia, Ecuador, Egypt, Equatorial
Guinea, Georgia, Greenland, India, Indonesia,
Jamaica, Jordan, Kenya, Malaysia, Mexico, Nigeria,
Oman, Pakistan, Paraguay, Peru, Philippines,
Poland, Russian Federation, San Marino, South
Africa, Taiwan, Thailand, Turkey, and Venezuela.
Society for the Advancement of Behavior
Analysis (SABA) Donations
Contributions to SABA qualify for tax deductions to
the full extent provided by law.
SABA Unrestricted Fund Contribution
$ ___________________________________
Senior Student Presenter Fund
Donate to support registration for students who are
senior presenters at ABAI events.
$_________ Student ($160 per student)
Journal Subscriptions
The Analysis of
Verbal Behavior
Member
Student
Member
3-Year
Member
Print + electronic
$61
$47
$182
Electronic only
$19
$13
$57
Behavior Analysis
in Practice
Member
Student
Member
3-Year
Member
Print + electronic
$74
$61
$219
Electronic only
$26
$21
$78
Behavior and Social
Issues
Member
Student
Member
3-Year
Member
Print + electronic
$50
$35
NA
Electronic only
$15
$10
NA
Education and
Treatment of Children
Member
Student
Member
3-Year
Member
Print + electronic
$65
$45
$195
Electronic only
$24
$15
$72
Perspectives on
Behavior Science*
Member
Student
Member
3-Year
Member
Print + electronic
$73
$31
$219
Electronic only
$19
$13
$57
The Psychological
Record
Member
Student
Member
3-Year
Member
Print + electronic
$67
$49
$201
Electronic only
$24
$16
$72
* Dues for all membership categories except
Chapter/Adjunct and First-Time include
subscriptions to Perspectives on Behavior Science.
20202021 Individual Membership Application
For the term September 1, 2020August 31, 2021
Membership Pricing, SABA Donations, and Journal Subscriptions
Annual convention pricing
(by membership type and region):
Please circle the
appropriate rate:
Register for the Entire Convention
Saturday, May 29Monday, May 31
Register by Day: Check Day(s) Attending
Friday/Saturday Sunday Monday
Region A if registering:
9/1/20/15/21
Registrant Rate
9/1/20/15/21
Presenter Rate*

Registrant Rate
9/1/20–3/15/21
Presenter Rate *
Student or Emeritus
$128
$120
$128
$120
Sustaining/Supporting
Full or Affiliate
$256
$240
$149
$120
Chapter/Adjunct
$330
$310
$189
$161
Nonmember and First-Time Member
$550
NA
$249
NA
Please circle the
appropriate rate:
Register for the Entire Convention
Saturday, May 29Monday, May 31
Register by Day: Check Day(s) Attending
Friday/Saturday Sunday Monday
Region B if registering:
9/1/203/15/21
Registrant Rate
9/1/203/15/21
Presenter Rate *
(chair, discussant,
panelist, and presenting
author ONLY)
9/1/203/15/21
9/1/203/15/21
Presenter Rate *
Student or Emeritus
$96
$90
$96
$90
Sustaining/Supporting
Full or Affiliate
$192
$180
$112
$90
Chapter/Adjunct
$248
$232
$142
$121
Please circle the
appropriate rate:
Register for the Entire Convention
Saturday, May 29Monday, May 31
Register by Day: Check Day(s) Attending
Friday/Saturday Sunday Monday
Region C if registering:
9/1/203/15/21
Registrant Rate
9/1/203/15/21
Presenter Rate *
9/1/203/15/21
9/1/203/15/21
Presenter Rate *
Student or Emeritus
$77
$72
$77
$72
Sustaining/Supporting
Full or Affiliate
$154
$144
$89
$72
Chapter/Adjunct
$198
$186
$113
$97
Please circle the
appropriate rate:
Register for the Entire Convention
Saturday, May 29Monday, May 31
Register by Day: Check Day(s) Attending
Friday/Saturday Sunday Monday
Region D if registering:
9/1/203/15/21
Registrant Rate
9/1/203/15/21
Presenter Rate
9/1/203/15/21
9/1/203/15/21
Presenter Rate *
Student or Emeritus
$51
$48
$51
$48
Sustaining/Supporting
Full or Affiliate
$102
$96
$60
$48
Chapter/Adjunct
$132
$124
$76
$65
*Presenters eligible for discount include chair, discussant, panelist, and presenting author ONLY
Membership Fee Regions
Region A: For countries with income per capita of 75%100% or more of the US, including American Samoa, Andorra, Australia, Austria, Bermuda, British
Virgin Islands, Channel Islands, Denmark, Faroe Islands, Finland, Gibraltar, Guam, Hong Kong, Iceland, Ireland, Isle of Man, Liechtenstein, Luxembourg, Macao,
Monaco, Netherlands, Norway, Qatar, San Marino, Singapore, Sint Maarten (Dutch portion), St. Martin (French portion), Sweden, Switzerland, and the U.S.
Virgin Islands.
Region B: For countries with income per capita of 50%74% of the US, including Belgium, Canada, Cayman Islands, France, Germany, Israel, Italy, Japan,
Korea, Rep., Kuwait, New Zealand, United Arab Emirates, and the United Kingdom.
Region C: For countries with income per capita of 25%49% of the US, including Antigua and Barbuda, Aruba, The Bahamas, Bahrain, Barbados, Brunei
Darussalam, Curaçao, Cyprus, Czech Republic, Estonia, Greece, Hungary, Latvia, Lithuania, Malta, Palau, Portugal, Puerto Rico, Saudi Arabia, Seychelles,
Slovak Republic, Slovenia, Spain, St. Kitts and Nevis, Trinidad and Tobago, Turks and Caicos Islands, and Uruguay.
Region D: For countries with income per capita of <25% of the US, including Afghanistan, Albania, Algeria, Angola, Argentina, Armenia, Azerbaijan, Bangladesh,
Belarus, Belize, Benin, Bhutan, Bolivia, Bosnia and Herzegovina, Botswana, Brazil, Bulgaria, Burkina Faso, Burundi, Chile, China, Colombia, Costa Rica, Croatia,
Ecuador, Egypt, Equatorial Guinea, Georgia, Greenland, India, Indonesia, Jamaica, Jordan, Kenya, Malaysia, Mexico, Nigeria, Oman, Pakistan, Paraguay, Peru,
Philippines, Poland, Russian Federation, South Africa, Taiwan, Thailand, Turkey, and Venezuela.
If your resident country is not listed to the right, but you believe you qualify for reduced dues based on its income per capita, contact the ABAI office.
MAILING ADDRESS FOR FORMS AND PAYMENTS: ABAI, 550 West Centre Ave., Suite 1 Portage, MI 49024, or fax to (269) 492-9316.
47th Annual Convention Registration
Virtual Convention
Pre-convention workshops: Thursday, May 27Friday, May 28
Convention: Saturday, May 29Monday, May 31
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7
15th Annual Autism Conference Registration
Synergy of Science and Practice WorldwideVirtual Conference
February 28March 2, 2021
We will host the entire conference online to continue to promote social distancing and reduce the risks associated
with travel and large gatherings. All aspects of the conferencepresentations, posters, career fair, and exhibits
will be accessible through our improved interactive virtual platform.
We are proud to bring together impressive scientists and practitioners across disciplines and backgrounds in this
fully digital event. The invited program of speakers is available; BACB and PSY continuing education credits will be
offered. We hope you will join us from the comfort of your home or office!
15TH ANNUAL AUTISM CONFERENCE REGISTRATION FEES
Please circle the appropriate rate:
By 12/15/20 12/16/202/1/21
2/2/212/26/21
After 2/26/21
Workshop #1
$95
$95
$95
$95
Workshop #2
$95
$95
$95
$95
Workshops #1 and #2
$165
$165
$165
$165
2021 ABAI Student Member
$179
$199
$219
$249
2021 ABAI Member
$325
$359
$399
$439
Nonmember
$530
$579
$619
$659
Continuing Education (CE) Package
ABAI offers credit for all qualifying autism conference events for a flat fee of just $70 for members and $80 for nonmembers.
Once payment and other requirements are met, your certificate of attendance will be posted automatically to your portal account.
Workshop #1 With CE
Tyra Sellers, Strategies for Effective Supervision
Workshop #2 With CE
Stephanie Peterson, Research and Practical Application of Telehealth Practice of ABA
Page 9
9
Please select the appropriate rate:
9/1/2002/10/21
2/11/218/25/21
8/26/21On Site
On Site
Ireland Resident Student Member
$225
$275
$300
$325
Ireland Resident Member
$340
$380
$420
$460
Ireland Resident Nonmember
$455
$495
$535
$575
Non-Resident ABAI Student Member
$300
$340
$390
$430
Non-Resident ABAI Member
$410
$450
$490
$530
Non-Resident Nonmember
$600
$640
$680
$720
11th International Conference Registration
September 1214, 2021, The Convention Centre Dublin; Dublin, Ireland
We are pleased to announce our 11th International Conference in Dublin, Ireland. Dublin offers a fascinating
mix of historic venues including Medieval crypts, 17th century theatres, castles, Georgian townhouses,
libraries, and old military hospitals. Please save the dates and join us in this historic city!
Continuing Education (CE) Package
ABAI offers credit for all qualifying international conference events for a flat fee of just $70 ($80 for nonmembers).
Once payment and other requirements are met, your certificate of attendance will be posted automatically to your portal account.
Page 10
10
Cancellation Policies
Refund requests received after deadlines, except for
those made as a result of a death in the immediate
family, will not be granted. Cancellation requests
should be submitted to ABAI in writing.
Registration cancellations for the 2021 Autism
Conference received by midnight (EST) November 19,
2020, will be subject to a 10% fee. Cancellations
received by midnight (EST) January 7, 2021, will be
subject to a 25% fee. Cancellations received by
midnight (EST) February 11, 2021, will be subject to a
50% fee. Cancellations received on or after February
12, 2021, will not be eligible for a refund, but
registration may be transferred to another member.
Registration cancellations for the 2021 Annual
Convention received by midnight (EST) January 7,
2021, will be subject to a 10% fee. Cancellations
received by midnight (EST) February 4, 2021, will be
subject to a 25% fee. Cancellations received by
midnight (EDT) April 15, 2021, will be subject to a 50%
fee. Cancellations received on or after April 16, 2021,
will not be eligible for a refund, but registration may be
transferred to another member.
Registration cancellations for the 2021 International
Conference received by midnight (EST) February 10,
2021, will be subject to a 10% fee. Cancellations
received by midnight (EDT) May 10, 2021, will be
subject to a 25% fee. Cancellations received by
midnight (EDT) July 10, 2021, will be subject to a 50%
fee. Cancellations received on or after July 10, 2021,
will not be eligible for a refund, but registration may be
transferred to another member.
Registration Fees
All conference registrants, including students, must
be a current member of ABAI at the time of
purchase. All presenters, including invited
presenters and authors, must register for the
event(s) at which they are presenting.
Name Badges
Name badges are required for entry into all ABAI
events and presentation rooms and for access to
ABAI on-site services, including bookstores,
exhibits, and job placement services. Registrants
receive a name badge on site. Replacement name
badges will be provided for $35. Your name badge
will be printed with your preferred first name
(nickname) in addition to your full first and last
name and affiliation, as specified in your contact
information.
Photo Release Policy
Registrants acknowledge that while attending this
ABAI event they may be photographed by an ABAI-
approved photographer. In registering for and
attending this event, you grant ABAI permission to
use your likeness in photograph(s) in any and all of
its publications and in any and all other media,
whether now known or hereafter existing,
controlled by ABAI, in perpetuity, and for other use
by the association. Registrants agree to make no
monetary or other claim against ABAI for the use of
the photograph(s).
Accessibility
ABAI makes accommodations for event attendees
with disabilities. We ask that individuals requiring
special arrangements submit information about
their needs in writing to
accessibility@abainternational.org and follow up
with the ABAI office accordingly.
Emergency Contact Information
If you are registering for an event, please provide
contact information in case of an emergency while
on site.
____________________________________
NAME
____________________________________
PHONE NUMBER
____________________________________
RELATIONSHIP
Method of Payment
Full payment must be received in the ABAI office
before services will be granted. Payment may be
made by check, credit card, or money order in U.S.
dollars. Make checks payable to ABAI. Returned
checks will be subject to a $35 fee. Overpayments
and discounts not taken will be considered
donations to ABAI unless a request for a refund is
made in writing. Email requests to
mail@abainternational.org.
TOTAL PAYMENTS ENCLOSED
Membership Type (e.g., Full, Student) ___________________________
$ ______________________
Journal Subscription(s)
$ ______________________
SABA Donations
$ ______________________
Autism Conference Workshop(s) Registration
$ ______________________
Autism Conference Registration
$ ______________________
Autism Conference Continuing Education Package
$ ______________________
Annual Convention Registration
$ ______________________
Annual Convention Program Book Advance Mailing ($15 to have shipped prior to convention)
$ ______________________
Annual Convention Continuing Education Package
$ ______________________
Dublin International Conference Registration
$ ______________________
Dublin International Continuing Education Package
$ ______________________
TOTAL PAYMENTS
$ ______________________
CREDIT CARD TYPE (SELECT ONE): AMEX MASTERCARD VISA DISCOVER
(ABAI does not store credit card information)
Name on Card
Card Number
Expiration Date (XX/XX)
Security Code
MAILING ADDRESS FOR FORMS AND PAYMENTS: ABAI, 550 West Centre Ave., Suite 1, Portage, MI 49024, or fax to (269) 492-9316.