Advocating for Masters-Prepared Practitioners in Psychology
OAPA Membership Application Form
Thank you for your interest in becoming a member of OAPA.
There are four categories of membership:
1. Full – open to Psychological Associate and Psychologist members of the College of Psychologists of
Ontario registered on the basis of a Master's degree and professional experience; may be on the
Autonomous or Supervised Practice registers; may attend and vote at the Annual General meeting and run for
office on the Board of Directors; eligible for the OAPA professional liability insurance plan through McFarlan
Rowlands.
2. Retired – open to Psychological Associates and Masters-Prepared Psychologists on the retired register of the
College of Psychologists; may attend and vote at the Annual General Meeting and run for office on the Board of
Directors; eligible for the OAPA professional liability insurance plan at a greatly reduced rate
3. Interim – open to Masters-level graduates whose academic preparation has been approved by the College of
Psychologists (please provide documentation from the Registration Committee); in the process of
obtaining the minimum four years of professional experience prior to applying for registration; eligible for the
OAPA professional liability insurance plan if being supervised by a Psychological Associate or
Psychologist; does not vote at the AGMs and cannot run for office on the Board.*
4. Student – enrolled in a Masters program in psychology (please provide documentation); eligible for the
OAPA professional liability insurance plan if providing professional services under the supervision of a
Psychological Associate or Psychologist; does not vote at the AGMs and cannot run for office on the Board.*
To become a member please do the following:
Print and complete your application form and mail to address below with cheque for annual membership fee.
For Student or Interim Membership:
Attach documentation for Interim or Student status as described above; include proof of supervision.
If you have any questions about membership in the OAPA, please contact Carol Doutriaux, Director of Membership, at
cdoutriaux@sympatico.ca or oapa.ont@gmail.com.
Complete form and mail with cheque to:
Ontario Association of Psychological Associates
2186 Mountain Grove Avenue, Suite 152 Burlington, ON L7P 4X4
All receipts are sent out electronically unless otherwise requested.
Welcome to OAPA!
~ PLEASE PRINT IN BLOCK LETTERS ~
Note: The information you provide is used to better address the needs of the members.
Personal information will not be distributed to the public.
Name
OAPA Membership Category
Full
Interim
Retired
Regulated Title
Psychological Associate
Student
Psychologist
NA
It is important that we know how many members are PAs and how many are
Psychologists. Please ensure that you check your current title. Thank you.
College Registration
Autonomous Practice
Not yet a CPO member"
Graduate Degree in Psychology
M.A.
Dip.C.S.
Supervised Practice
M.Sc.
M.Ed.
Retired
Other:
__________________
Mailing Address
In which municipality (City/Town/Village)
do you work?
Phone (home)
Phone (work)
Phone (Other)
Email (primary)
Email (secondary)
I would like to be included on the OAPA
list serv
Yes
No
Language Preference for Communication
English
French
Your Primary Work Setting
Agency
Corporation
School Board
Your Secondary Work Setting:
Agency
Licensed Practice Areas
Other (specify)
Corporation
School Board
Government
Check all that
Apply
Clinical Psychology
Counseling Psychology
School Psychology
Forensic Correctional Psychology
Clinical Neuropsychology
Health Psychology
Rehabilitation Psychology
Industrial / Organizational Psychology
Not Applicable
Private Practice
_________________
Government
Other (specify)
Hospital
Hospital
NA
Private Practice
___________________________
Your Client
Population(s)
Adults
Adolescents
Children
Families
Couples
Seniors
Organizations
Not Applicable
I have been a Psychological Associate, autonomous practice, since
(year)
My title in Ontario has been changed from PA to Psychologist.
I plan to apply for the Psychologist title via AIT
My workplace has created a job category for Psychological Associates.
I have a pay scale specifically for Psychological Associates.
I am unionized at my place of employment.
Yes
Yes
Yes
Yes
No
No
No
No
Yes
No
NA
Check all that
Apply
If Yes, what year:
Issues of Concern to Members:
Please assign a rating to each of the issues below (1 = most important, 6 = least important)
Title
Continuation of MA registration
Advice/Assistance for Individual Member’s Questions
Professional Development
Private Practice Concerns
Communication Among OAPA Members
Other Concerns:
Do you have in-depth experience in something that might be useful to OAPA advocacy, e.g., MVA, ESL clients, disability
groups, WSIB, etc.? If you are willing to be contacted for consultation or participation, briefly describe your expertise.
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~PAYMENT INFORMATION ~
We are certain you can appreciate that your OAPA membership provides excellent value at a very low price and as such
membership fees cannot be pro-rated partway through the membership year.
Please note:

The OAPA membership year runs from September 1 to August 31 each year

Please make your cheque payable to OAPA or Ontario Association of Psychological Associates

NSF cheques will be subject to a $7.00 charge
Fees
First Time Full Membership
Amount Due
$85.00
$
$120.00
$
Retired Membership
$65.00
$
Interim Membership
$65.00
$
Student Membership
$65.00
$
Returning Member
Other: Donation to the OAPA Advocacy Fund
Thank you and welcome to OAPA!
Discretionary
$
Your Payment Total:
$