ABCT Services

2024 SIG-in-Formation Form

2024 SIG-in-Formation Form

Please fill out the form below and click submit to send it to Central Office.

For questions and assistance with the SIG formation process, please contact Central Office SIG Liaison, Rachel Lamb, at rlamb@abct.org.

 For an outline of the SIG formation process, please visit the How to Create a New SIG page on the ABCT website.

ABCT Special Interest Group Program: Group-in-Formation Application

Thank you for your interest in forming a new Special Interest Group at ABCT! Please complete the form below and click SUBMIT when you're done. Completing this form fulfills one of the five criteria for establishing a new SIG. Those five criteria are:

  1. A purpose that does not duplicate that of an existing Special Interest Group has been enumerated. 
  2.  A minimum of 20 persons, all of whom are current members of ABCT, express an interest in belonging to the new group.
  3. The Central Office has received the names of all members of the new group (this procedure will be conducted annually in order to maintain the group's status as a Special Interest Group). 
  4. A democratic process in officer selection with a specified procedure for leadership rotation is implemented.
  5. The group has held a public, formal meeting either in person at an ABCT annual convention or via Zoom, using the ABCT account.

1. Name of proposed Special Interest Group: *

2. Names and titles of officers:

A. Officer #1: *
B. Officer #2: *
C. Officer #3:
D. Officer #4:
3a. Name of SIG Leader 1: *
3b. Name of SIG Leader 2:
4a. Mailing Address of SIG Leader 1: *
4b. Mailing Address of SIG Leader 2:
5a. Email Address of SIG Leader 1: *
5b. Email Address of SIG Leader 2:
6a. Phone Number of SIG Leader 1: *
6b. Phone Number of SIG Leader 2:
7. How many members does your SIG currently have? *
8. How many of those members are ABCT members? *

9. For questions 9a-9i, enter the number of members you have by profession:

A. Psychologists:
B. Psychiatrists:
C. Nurses:
D. Physicians:
E. Academia:
F. Social Workers:
G. Paraprofessionals:
H. Students:
I. Other:
10. Will your SIG charge membership dues? *

Clear Selection
10a. If yes, what is the dues rate for regular/professional members?
10b. If yes, what is the dues rate for student members?
11. Has your proposed SIG held any meetings to date? *

Clear Selection
11a. If yes, how many meetings have been held to date?
11b. Describe the scope and intent of your proposed Special Interest Group, and how it relates to ABCT, in detail: *
(Maximum characters: 2000)
You have characters left.
If the description exceeds 2000 characters, you can attach a text file here:
12. How were the initial members of your SIG invited to join? *
13. How and how often will your proposed SIG choose new officers? *
14. If your proposed SIG has held any meetings to date, was any of the discussion oriented towards ethical issues? If so, what issues were discussed? *
15. Use this space to describe the purpose and content of your proposed SIG's first meeting. Please include who chaired the meeting, topics discussed, and the number of attendees. *
(Maximum characters: 2000)
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16. Is your proposed SIG currently incorporated? *

Clear Selection
16a. If yes, please provide the date and state of incorporation:
17. If your proposed SIG has a written statement of purpose or bylaws, please attach it here.

18. Please read the following statement and then confirm your agreement:

In my/our capacity as an officer/officers of the organization named above, I/we hereby apply for ABCT Special Interest Group-in-formation (SIG) status on behalf of said organization. I/we confirm that the information provided about for said purpose is accurate. I/we confirm that the activities and purposes of said organization are not in conflict with the printed Bylaws of ABCT and agree to abide by the ABCT SIG Guidelines. I/we acknowledge that no one other than the President of ABCT is authorized to give statements on its behalf.

I have read and agree with the statement above. *

Clear Selection
Name: *
SIG Name: *



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