International Council for Helplines Application

Thank you for submitting your application for membership, accreditation and/or re-accreditation. This application will be submitted electronically by clicking the "submit" button. If you have any questions, please contact the Accreditation & Credentialing Administrator at accreditation@councilforhelplines.org.

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

Name of Organization *

Name of Helpline Program(s) *

Street Address *

Address Line 2

City *

State *

Zip Code *

Country *

Website URL *

Name of Helpline Program(s) Director *

Email Address *

Contact Phone Number *

Will the Helpline Director be the main contact for accreditation? *

Yes

No

N/A - the application is for membership only

If no, please provide the name of the main contact for accreditation

Email address

Contact Phone Number

What year(s) were the helpline(s) established? *

What type of staffing model is used by the helpline(s)? *

All paid employees

All volunteers

Blended - both paid employees and volunteers

What is the average total number of helpline staff (include both employees and volunteers if applicable)? *

Approximate total number of contacts (calls, chats and/or texts) for each helpline (last calendar/fiscal year)? *

Is the helpline a member of the 988 Lifeline network? *

Yes

No

If no, are there plans to become a member of 988 Lifeline?

Services provided by the organization *

Crisis helpline/suicide hotline

Online emotional support (chat and/or text)

Reassurance calling program

Domestic violence helpline

Problem gambling helpline

Substance use helpline

Information and referral helpline and/or 2-1-1

Warmline (peer and/or non-peer)

Teen helpline

Other services provided *

Affiliations and/or accreditations *

American Association of Suicidology (AAS)

CARF

Crisis Residential Association (CRA)

Inform USA (formerly AIRS)

National Association of Crisis Organization Directors (NASCOD)

National Council on Problem Gambling (NCPG)

None of the above

Other affiliations and/or accreditations

Are the helpline(s) part of a parent organization? *

Yes

No

Name of Parent Organization

Payment Amount. Please note that the total fee payment is based on the number of helplines being accredited. Select the applicable number of helplines going through the accreditation process. If the application is for membership only, select the membership fee. *

New International Council for Helplines Membership Fee - $500 (pro-rated for the first year based upon month of joining)

Primary Accreditation Fee (1st helpline) - $1,950

Additional Accreditation Fee (2nd Helpline) - $1,250

Additional Accreditation Fee (3rd Helpline) - $1,000

Additional Accreditation Fee (4th Helpline) - $750

Additional Accreditation Fee (5th Helpline) - $500

Out-of-Cycle Helpline Accreditation - $1,950

For organizations who are currently accredited by ICH and want to add an additional helpline for accreditation, check the out-of-cycle accreditation.

For new members: please note that member dues are calculated based upon the month when the application is received by International Council for Helplines.

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

Name of individual to receive the fee invoice (the invoice will be emailed) *

Email address of individual to receive the fee invoice *

Name and title of person completing this form *

Email Address *

For new members, how did you hear about International Council for Helplines?