$25 Individual Membership Application

INDIVIDUAL Membership Application

You're almost there! Complete this Membership Application and submit your payment to officially become an APPA member. We look forward to welcoming you!
Name*

First NameLast Name
Phone Number
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Email*
How did you hear about APPA?*

Social MediaAPPA WebsiteGoogle/Search EngineColleague or FriendSupervisorAttended an APPA Training InstituteEmail or NewsletterAPPA Member Referral
Were you referred by someone? If so, please share their name so we can thank them and recognize their support in helping grow the APPA community!
Job Title
Agency/Organization*
Major
College/University
Anticipated Graduation Date

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Length of Experience in Community Corrections

Less than 2 years2-5 years6-10 years11-15 years16-20 years21-25 yearsMore than 26 years
Professional Category

AdministratorAttorneyCommissioner/Director/ChiefConsultantEducatorGrant CoordinatorJudgeLine OfficerParole Board MemberPrivateProject DirectorRetiredSpecialistStudentSupervisorTrainerTransition Specialist
Primary Work Sector

AcademiaAdult CorrectionsAdult ParoleAdult ProbationCommunity JusticeJuvenile ParoleJuvenile ProbationJudicialNon-ProfitPretrial ServicePrivateResidentialTreatment Provider
Job Jurisdiction

CityCountyFederalProvinceStateTribalAlaskan VillageOther
Geographic Work Areas

Urban (Population > 50,000)Rural (Population < 50,000)Both Urban and Rural
Payment Information

My Products*

1-Year Individual Membership

$25.00

Subtotal

$0.00

Shipping

$0.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Would you like to enroll in automatic renewal for your membership?

Yes, I authorize the American Probation and Parole Association (APPA) to automatically renew my membership each year using the payment method on file. I understand I can cancel at any time.No, I prefer to renew my membership manually each year.
In honor of PPPS Week (Pretrial, Probation, and Parole Supervision Week) every new member that joins between July 18 - July 26, 2025 will receive a FREE limited-edition 50th Anniversary Challenge Coin!
Shipping Address (for FREE Limited-Edition 50th Anniversary Challenge Coin)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
We're excited to have you as part of our community! An APPA team member will be in touch soon with your onboarding details and tips on how to make the most of your membership.
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INDIVIDUAL Membership Application

Payment Information

We're excited to have you as part of our community! An APPA team member will be in touch soon with your onboarding details and tips on how to make the most of your membership.