Trainee Affiliate Membership Application

To apply to become an ACVP Trainee member or ACVP and ASVCP Joint Trainee member, submit the form below including uploading the appropriate completed Trainee Status Verification form.

ACVP Trainee Affiliate Membership fees are $50, and ACVP/ASVCP Joint Trainee Affiliate Membership fees are $100.

ACVP Membership Trainee Status Verification
ACVP/ASVCP Joint Membership Trainee Status Verification

First Name

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Last Name

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Email Address

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Address

Address Line 1

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Address Line 2

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City

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State

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Postal Code

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Country

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Phone

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Training Institution

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Year Training Started

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Which Trainee Membership?

ACVP

Joint ACVP/ASVCP

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Are you a current ASVCP member?

Yes

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Upload Trainee Status Verification Form

Click to upload or drag and drop

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Attendee Information

Attendee Information

Attendee Information

Trainee Affiliate Membership Application