Choose a username: (May have up to 20 letters and numbers, but no punctuation marks.)
Choose a password: (Up to 20 letters and/or numbers; more is better.)
Re-enter password:
Please type your full legal name, or the full name of the principal investigator .(Required.)
[Privacy Policy ]
Last name:
First name:
Middle initial (optional):
Academic credentials, certifications and licensure (E.g. M.A., Ph.D., LPC, NCC etc.) Optional but strongly encouraged :
E-mail address: [Privacy Policy ]
Please re-enter your e-mail:
Please indicate your professional status:
Graduate student in a counselor preparation program
College or university professor/lecturer/T.A. in a graduate program that prepares professional counselors (I.e., "Counselor Educator")
State-credentialed professional (e.g., LPC, LMHC, LMFT, certified school counselor)
Practitioner exempt from state licensure
Consultant or curricular specialist
Other role:
Please describe your practice specialization:
K-12 school counseling
Postsecondary advisement, student personnel or related
Mental health counseling
Counseling or Clinical Psychology
Social Work (any setting)
Marriage and family therapy
Rehabilitative, addictions or offender counseling
Other specialty not listed above, or pertinent ACA division if a member:
Where are you? (Required.)
What is the name of the practice/agency/school where you work or study?
Location: (city/state or country)
Pick the statement that best describes you:
I certify that my primary professional identity or program of graduate study involves a Counseling field, as described accurately above.
I am not a Counseling professional, but would like to create a trial account, for the following reason:
Reason:
Please carefully read the following terms of service:
I agree
I agree to adhere to the ACA Code of Ethics when using this web site for research purposes
and when communicating with the public. I acknowledge responsibility for proficient use of this site
and agree to notify the administrator of any technical problems encountered.
Please note: New accounts will become activated upon response to
confirmation e-mail, and will be reviewed by the website administrator the next business day.
Please check your name and work setting information before submitting form; thank you.