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Published Online: 15 October 2004

APA Membership Department Information Request

APA wants to hear from members who qualify for membership in one of its minority/underrepresented caucuses. This will help APA keep these members informed about news and activities that may be of particular interest to them.
Members who haven't indicated their ethnicity or race on their membership records are encouraged to do so and to join one of the minority/underrepresented group caucuses.
Name ________________________
Phone ________________________
E-Mail ________________________
These are the ethnicities/races listed on the APA membership application:
American Indian/Eskimo/Aleut/Native Hawaiian
Mexican/Mexican American
Puerto Rican
Other Spanish descent (Cuban, Central American, or South American)
Filipino
Indian/Pakistani/Ceylonese/Malay
Japanese/Chinese/Korean/Other Asian
African American/Black
These are the seven APA minority/underrepresented group caucuses:
American Indian/Alaska Native/Native Hawaiian
International Medical Graduates
Gay/Lesbian/Bisexual
Hispanic
Asian American
Black
Women
Members can provide this information to APA's Membership Department by e-mail to [email protected] or by phone at (888) 357-7924 or by mailing this form to APA Department of Minority and National Affairs, Suite 1825, 1000 Wilson Boulevard, Arlington, Va. 22209.

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Published online: 15 October 2004
Published in print: October 15, 2004

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