1 Account Creation2 Personal Information Membership Type*Graduate StudentNew Professional (does not hold clinical license)Advanced Practitioner (holds clinical license or retired)Please select a registration type (Please note that anyone registering as a post-graduate practitioner can only register for basic membership at this time).Username (Do not use email address)*Your user name will determine the public URL of your profile. For example: http://students.acswa.org/members/username. Your user name will be visible on posts in the forum. For your privacy, we recommend that you do not use your full name for this field. Password* Enter Password Confirm Password Strength indicator NOTE: A strong password is required. To make it stronger, use upper and lower case letters, numbers and symbols like ! " ? $ % ^ & ).Name* First Last Email* Mailing Address*NOTE: Please type in your preferred address for our online directory. This address will be visible to all ACSWA members.Graduate School*Anticipated Year of Graduation*Please enter a value between 2015 and 2025.Years of Practice* Membership Level*BasicPremiumPromo CodeIf you do not know your promo code, please contact us.Premium Membership* Price: $100.00 Basic Membership* Price: $50.00 Graduate Student Membership* Price: $35.00 Price after discount* Price: $0.00 Price after discount* Price: $50.00 DonationPlease consider making a donation to support our efforts to provide an outstanding online community.$0.00$50.00$100.00$150.00Total $0.00 Credit Card American ExpressMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.