Please complete this Membership Application and submit it together with your payment. Applications received without payment, or payment received without a Membership Application cannot be processed. Questions? Email ISIPAR's Past President-Executive Director, Ronald P. Rohner at rohner.isipar@gmail.com.

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Choose one of the following options:*

New Member
Renewal

Please provide the following contact information:

First Name *

Middle Name/Initial

Last Name *

Title/Position

Organization

Highest Degree*

High School Diploma Undergraduate 2 yr. Undergraduate 4 yr. Master's PhD / MD / EdD / JD

Mailing Address *

Address (Continued)

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Country *

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Email Address *

 Gender:*

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What are your primary areas of interest?
(check all that apply)

Academic Issues	Corporal Punishment	Intimate Partner Acceptance-Rejection	Psychological and Behavioral Control
Acculturation/Immigration	Developmental Problems	Law Legal/Courts	Rejection Sensitivity
Affectionate Communication	Ethnicity	Lifespan Perspective	Resilience, and Coping with Rejection
Applied Research/Practice	Evolutionary Perspective	Methodological Issues	Sociocultural Correlates of Acceptance-Rejection
Attachment	Family Interaction (including parenting styles, marital relationships, etc.)	Ostracism/Social Exculsion	Substance Abuse
Biological Correlates of Perceived Acceptance-Rejection	Family Violence (other than child abuse & neglect)	Overview (summary of existing research)	Teacher Acceptance-Rejection
Bridging Theories	Father Love	Parenting Education
Child Abuse and Neglect	Gender/Gender Differences	Peer and Sibling Acceptance-Rejection
Clinical Practice	Normal Growth and Development	Psychological and Behavioral Adjustment and Maladjustment

Other Area(s) of Interest Not Listed Above:

From the table of dues information below and the countries represented within each of the economic categories, please select the membership type, annual dues rate, number of years, and World Bank economic category that applies to your membership.

 Membership Type:*

Full Member
Emeritus/Retiree
Student -Students applying for membership must verify their student status by submitting an endorsement from a faculty member (not necessarily an ISIPAR member).

Name of Faculty Member

University or College of Faculty Member

Email Address of Faculty Member

Annual Dues (Categories I through IV are based on the World Bank’s economic categories. See the listing noted below for the category to which you belong)

I. High Income Economies	1-year rate ($US)	2-year rate ($US)	4-year rate ($US)
Full Member	$45	$77	$144
Emeritus/Retiree	$34	$58	$109
Student*	$22	$37	$70
II. Upper Middle Income Economies
Full Member	$35	$60	$112
Emeritus/Retiree	$26	$44	$83
Student*	$17	$29	$54
III. Lower Middle Income Economies
Full Member	$25	$43	$80
Emeritus/Retiree	$19	$32	$61
Student*	$12	$20	$38
IV. Low Income Economies
Full Member	$15	$23	$48
Emeritus/Retiree	$11	$19	$35
Student*	$7	$12	$22
Countries represented within each of the economic categories (as of July 2011):
I. High-income economies (70)
Andorra	Germany	Northern Mariana Islands
Aruba	Gibraltar	Norway
Australia	Greece	Oman
Austria	Greenland	Poland
Bahamas, The	Guam	Portugal
Bahrain	Hong Kong SAR, China	Puerto Rico
Barbados	Hungary	Qatar
Belgium	Iceland	San Marino
Bermuda	Ireland	Saudi Arabia
Brunei Darussalam	Isle of Man	Singapore
Canada	Israel	Sint Maarten
Cayman Islands	Italy	Slovak Republic
Channel Islands	Japan	Slovenia
Croatia	Korea, Rep.	Spain
Curacao	Kuwait	St.Martin
Cyprus	Liechtenstein	Sweden
Czech Republic	Luxembourg	Switzerland
Denmark	Macao SAR, China	Trinidad and Tobago
Estonia	Malta	Turks and Caicos Islands
Equatorial Guinea	Monaco	United Arab Emirates
Faeroe Islands	Netherlands	United Kingdom
Finland	Netherlands Antilles	United States
France	New Caledonia	Virgin Islands (U.S.)
French Polynesia	New Zealand
II. Upper-middle-income economies (54)
Albania	Ecuador	Namibia
Algeria	Gabon	Palau
American Samoa	Grenada	Panama
Antigua and Barbuda	Iran, Islamic Rep.	Peru
Argentina	Jamaica	Romania
Azerbaijan	Jordan	Russian Federation
Belarus	Kazakhstan	Serbia
Bosnia and Herzegovina	Latvia	Seychelles
Botswana	Lebanon	South Africa
Brazil	Libya	St. Kitts and Nevis
Bulgaria	Lithuania	St. Lucia
Chile	Macedonia, FYR	St. Vincent and the Grenadines
China	Malaysia	Suriname
Colombia	Maldives	Thailand
Costa Rica	Mauritius	Tunisia
Cuba	Mayotte	Turkey
Dominica	Mexico	Uruguay
Dominican Republic	Montenegro	Venezuela, RB
III. Lower-middle-income economies (56)
Angola	Indonesia	Philippines	Yemen, Rep.
Armenia	India	Samoa	Zambia
Belize	Iraq	Sao Tome and Principe
Bhutan	Kiribati	Senegal
Bolivia	Kosovo	Solomon Islands
Cameroon	Lao PDR	Sri Lanka
Cape Verde	Lesotho	Sudan
Congo, Rep.	Marshall Islands	Swaziland
Cote d'Ivoire	Mauritania	Syrian Arab Republic
Djibouti	Micronesia, Fed. Sts.	Timor-Leste
Egypt, Arab Rep.	Moldova	Tonga
El Salvador	Mongolia	Turkmenistan
Fiji	Morocco	Tuvalu
Georgia	Nicaragua	Ukraine
Ghana	Nigeria	Uzbekistan
Guatemala	Pakistan	Vanuatu
Guyana	Papua New Guinea	Vietnam
Honduras	Paraguay	West Bank and Gaza
IV. Low-income economies (39)
Afghanistan	Haiti	Tajikistan
Bangladesh	Kenya	Tanzania
Benin	Korea, Dem Rep	Togo
Burkina Faso	Kyrgyz Republic	Uganda
Burundi	Liberia	Zimbabwe
Cambodia	Madagascar
Central African Republic	Malawi
Chad	Mali
Comoros	Mozambique
Congo, Dem. Rep	Myanmar
Eritrea	Nepal
Ethiopia	Niger
Gambia, The	Rwanda
Guinea	Sierra Leone
Guinea-Bissau	Somalia

Length of Membership:*

1 Year
2 Years
4 Years

 

Annual Dues Rate in US Dollars (USD) (Enter Amount that applies to your membership from World Bank economic categories above)

Annual Dues $ USD*

World Bank Category:*

High Income
Upper Middle Income
Lower Middle Income
Low Income

Method of Payment:*

Check (make check payable in US Dollars to the International Society for Interpersonal Acceptance and
Rejection)

Return payment with the full name of the new or renewing member noted in the Memo line, to:
ISIPAR Central Office
c/o Ronald P. Rohner
University of Connecticut
Human Development and Family Studies, Room 208
348 Mansfield Road, U-2058
Storrs, CT 06269-2058 USA

PayPal (Go to www.PayPal.com or click the PayPay seal below to make your payment now)
Paypal payment goes to ISIPAR Central Office (rohner.isipar@gmail.com)

Western Union

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