This form and payment should be submitted by October 15, 2020. 

Given the current safety standards and COVID protocols, we ask that you do your best to submit your payment via the PayPal buttons below, after completing the online form. If you have any questions regarding dues/payment or if it is necessary for you to pay via check due to agency policies, etc., please contact the ACEPT Treasurer.

Membership Types & Fees

Academic Institution with More than 100 practicum students ($500.00)

More than 100 practicum students


Academic Institution with Fewer than 100 practicum students ($250.00)




Clinical Training Site ($100.00)


Individual ($50.00)


Rachel Nitzarim Ph.D.