International Council for Helplines Individual Membership Application

Thank you for submitting your application for individual membership to International Council for Helplines (ICH). This membership is for any individual who is interested in the mission and desires to be a member of ICH.

As an individual member of ICH, you will be part of a helpline community, included in a member listserv, receive monthly newsletters, eligible for ICH awards, and receive discounted member rates for trainings, the certified crisis helpline specialist exam and the annual conference registration fee.

This application will be submitted electronically by clicking the "submit" button. If you have any questions, please contact Gail Selander at gail@councilforhelplines.org

This application is for (check all that apply): *

New Membership - Individual

New Membership - Student

New Membership - Seniors 65+

New Membership - Retired

Name of Individual (First Name/Last Name) *

Street Address *

Address Line 2

City *

State *

Zip Code *

Country *

Email Address *

Contact Phone Number *

If you are currently a student, what school are you attending? Please include your area of study/interest and anticipated year of graduation.

Please provide a brief statement about your interest in ICH, including any current or previous experience with a helpline organization. *

Annual Membership Fee Payment Amount: *

New Individual Membership Fee - $150

New Individual Membership Fee (student) - $50

New Individual Membership Fee (seniors 65+) - $50

New Individual Membership Fee (retired) - $50

Please check here if you would like to pay by credit card:

Pay by credit card

Please note that membership dues are pro-rated for the first year of joining and are calculated based upon the month when the application is received by International Council for Helplines.

An invoice will be emailed to you. The email and invoice will have instructions for paying by check, credit card, or electronic bank account transfer.

Are you an International Council for Helplines Certified Helpline Specialist? *

Yes

Does International Council for Helplines (ICH) have your permission to include your name on the individual member list that is located on the ICH website? *

Yes

Does International Council for Helplines (ICH) have your permission to include your name as a new member in the monthly ICH newsletter that is emailed to all ICH members? *

Yes

How did you hear about International Council for Helplines? *

Thank you for application and for your dedication to the mission of ICH!