AAC Academy Interest Meeting Sign Up

Thank you for your interest in the AAC Academy!

This form is a registration for an online meeting to learn more about the AAC Academy program and certification process. We will ask you a few questions so we make sure to cover the information you most want to discuss during the interest meetings. Please review the AAC Academy Schedule, Rates, and FAQs prior to completing this form. We're looking forward to meeting you!

Participant Information

First Name *

Last Name *

E-mail Address *

Where do you live? *

City and State or Country, if not in the USA

Choose an interest meeting date and time. *

Do you have an animal with whom you'd like to partner in counseling? *

If yes, briefly describe your animal (e.g., two-year-old golden retriever named Gideon)

What clinical licensure or registration do you currently hold? (check all that apply) *

No licensure

Post-graduate intern (e.g., LPC or LMFT Associate)

Licensed professional (e.g., LPC, LMFT, LMSW, LCSW, LP, LSSP)

Licensed professional and supervisor (e.g., LPC-S, LMFT-S, LCSW-S)

Certified School Counselor

Registered Play Therapist or Registered Play Therapist-Supervisor

Registered Art Therapist or Art Therapy Certified Supervisor

Other

If you chose Other, please describe.

How did you learn about the AAC Academy? (e.g., friend, coworker, AAC Academy website, training, etc.) *

Have you reviewed the AAC Academy schedule, rates, and FAQs that are posted on the website? *

If not, please review these prior to the interest meeting.

What are some questions you have about the AAC Academy or AAC certification? *

Is there anything else you'd like to ask or share about AAC?

If you happen to see this, do not fill this field.