SIP Membership Registration (R01.01.2021V2)
Please complete this for to provide us with vital information about your current membership.
NOTE that only fields with an * are required.
  • eg: continuing member, name of person who referred you, etc.
  • Even if renewing your membership, we still need you to fill out the application so we can update our records. Although mailing addresses may not change too often, email, phone numbers and affiliation do. So, please bear with us and complete an updated member profile annually.
  • For issues regarding our listserv, please contact Wendy at admin@aiansip.org
  • - -
    (U.S. phone numbers only - see below for other)
  • (If Non-U.S. number, please enter here and be sure to include country code)
  • Student Status

    Please complete the following if you are currently a student
  • What degree are you currently working toward?
  • eg: Counseling, Education, Nursing, etc.
  • Personal Information

    Please tell us about yourself.
  • Although multiple ethnicity may be applicable, please select the one that best applies to you.
  • If American Indian or Alaaka Native, please include your tribal heritage or affiliation here
  • eg: Clinical Psychology, Education, Nutrition, etc.
  • Please tell us a bit about your area/s of expertise, interests, or if you may consider joining any particular special interest groups in SIP (eg: mentorship, advocacy, crisis response, etc.). Getting to know a little about you will help those of us behind the scenes to connect you with others who may have common interest, etc. It will help us spark new relationships and knit together a stronger community.

    Welcome!
  • We will never use your information to spam you. On occasion, however, SIP may choose to share its membership information with affiliated organizations. Know that our priority is to ensure the information you provide to us is protected, and that your privacy is respected. We take this responsibility very seriously.
  • For "Special" Membership, input code provided
    ALL MEMBERSHIPS ARE GOOD FOR 1 YEAR
  • Thank You!

    Your membership makes SIP possible. Your generous support helps us to help others by enabling SIP to continue its mission serving all our relations in Indian Country. Please consider making a charitable donation to SIP or the Carolyn Attneave Scholarship Fund.

    Submitting your membership will take you to the payment/donation page on our website. SIP accepts payments or donations online via Paypal, or by regular mail. Your membership is not complete until we receive your payment. Mailing information can also be found on the payment page of our website.