Member Assistance Program Application 2025

Complete the application below to request financial assistance for 2025 ACPA Membership. Applications will be reviewed on a rolling basis while funds last.

1. Please complete the information below.

First Name

Last Name

Email Address

Phone Number

City

State

Primary Specialty

Institution

Job Title

2. What membership type do you need to renew as?

Please upload your proof of Early Career status.

Examples of acceptable documentation include (but are not limited to) verification letter from employer or department chair, or an offer letter.

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3. How long have you been a member of ACPA?

4. Please share how you have engaged as an ACPA member.
Engagement may include, but is not limited to: committee membership, chairing sessions, SIG participation, Online Community posts, Annual Meeting attendance, etc.)

5. Please explain your financial situation and why you need assistance with membership dues for 2025.