Join Now Step 1 of 2: Fill out your membership form NJ-AIMH memberships and Endorsements are renewed annually on a calendar year. Registrations received in November and December 2022 will be in effect until December 31, 2023. I would like to * Join or Renew annual membership for 2023 ($35) Join or Renew full time student membership for 2023 ($15) I have Lifetime Honorary Membership (No fee) My Info First Name * Last Name * Personal Email Address * Home Address * City * State * Zip * My Personal Phone Number * Name of Agency/Employer * Job Title * My Work email * My Work Phone Number * Discipline, e.g., early childhood education, social work, psychology, nursing, pediatrics, counseling, OT, speech therapy, etc. * I use the following pronouns: * he/him/his he/they/their she/her/hers she/they/their they/them/their OtherOther I prefer not to answer. I identify racially/ethnically as: * Asian Bi-racial Black Indigenous Latinx Multi-racial White OtherOther I prefer not to answer. We really want to know who our members are. Is there something you want us to know about how you identify? I am interested in joining the following committee(s) for 2023: * College/University Student Engagement Membership & Endorsement Public Awareness & Development Training & Reflective Supervision I prefer not to choose at this time. If you are human, leave this field blank. Δ
