Skip survey header

ACLP Request a New Special Interest Group (SIG)

If you are interested in forming a special interest group of a particular clinical, scientific, or educational area as it relates to C-L psychiatry and which you think would be beneficial to the ACLP membership, please first review theĀ ACLP Policy on SIGs, and then fill out and submit the form below.
1. SIG Chair *This question is required.
2. SIG Vice Chair *This question is required.
4. Academy resources requested (check all that apply): *This question is required.
  • * This question is required.
5. Upload a single, 2-page document (Word or PDF only please; 1MB file size limit) with the following:

Page 1: A description of the new group, which must be organized under the following three headings: What is the Purpose of this New Group; Planned Goals/Activities; How Will it Benefit ACLP Members.

Page 2: A list of 25 current ACLP members in support of the application. Provide first and last names, and emails of each supporting member; include yourself at the top of the list. If there are less than 25 supporting ACLP members you must include an explanation why you cannot achieve 25 supporters. *This question is required.