The Foundation for 
Applied Psychiatric Anthropology
The Foundation for Applied Psychiatric Anthropology

Affiliation Application

Please complete this form.  When you click "SUBMIT" you will be redirected to our Support FAPA page for payment of the suggested Affiliation Contribution.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Email:
Professional Affiliation
Specialties / Interests


May we list your affiliation, interests, and email address on our website?
Yes
  No


FAPA Affiliation Level and suggested Affiliation contribution.
Student or Trainee ($15 / year)
  Professional ($20 / year)


Would you like to be added to our email list so you can receive updates about FAPA?
Yes
  No thanks


 Are you interested in helping us develop and implement new programs and initiatives?
Yes
  Not at this time


If so, please tell us what areas most interest you, and what skills you might offer.

Website Builder