Application Individual Members

I wish to become an individual member of the International Society of the Rorschach and Projective Methods. Please submit this request to the Membership Committee:

Name*

First Name Last Name

Gender*

Male
Female
Other

Date of birth*

Mailing address*

Street Address City ZIP / Postal Code Country

Email*

Is there a national group or Rorschach Society in your country that is a member organization of the International Society of the Rorschach and Projective Methods?*

Yes
No

If yes, are you a member of that organization?*

Yes
No

If you are not a member, why not?

Education

Highest degree

Year awarded

Institution

Field of study

Employment (Current employment, dates. Graduate students: Enter name of university you are attending.)

Do you currently hold a license or certificate to practice?

Yes
No

Have you attended an ISR congress?

Yes
No

If yes, where?

Phone

This field is for validation purposes and should be left unchanged.

For application to become an individual member of the International Society of the Rorschach (only if there is no national society or groups in your country)

Education