Ethical Disclosure and Pledge
I hereby certify that, to my knowledge, there have never
been any professional ethical charges or charges of
unprofessional conduct against me. (Amplify if necessary).
I agree to abide by the usual ethical codes of my professional
organizations and my state licensing board in my dealings
with Chinese patients, supervisees and students. I realize
that Chinese customs may be different from usual Western ones
(e.g., gifts, socializing) but I will follow Western mores.
Further, I will not allow my work in China to involve me
in conflict of interest issues. If I suspect there are such
issues, I will discuss them with the Ethics Committee.
Your signature indicates that you agree to abide
by CAPA's Ethical Disclosure and Pledge as stated
above, and also that any ethical charges, or the
lack thereof, as you have detailed above, are
accurate to the best of your knowledge.
Also, if you end up teaching or supervising with
CAPA, please note that CAPA students register
privately as therapists and supervisors with the
Chinese Psychological Society (CPS), as there are
many professional and financial benefits enjoyed by
those who complete the official registration
process. In order for our students to be able to do
this, CAPA must provide CPS with a listing of the
training and supervision hours they have completed,
including the signatures and CVs of their
instructors and supervisors. Upon signing, you agree
that your signature and CV may be used for this
purpose as well, should the occasion arise.
Mail check to:
CAPA c/o RC Business Service Inc.
212-80 16th Ave
Bayside, NY 11360
Your dues and contributions are tax-deductible (CAPA is 501(c)(3)
organization). You can contribute pre-tax money from your IRA and
save in two ways - pre-tax money and a deductible contribution. Do
what is best for you. You will be listed on our membership site on
the basis of your total contribution to CAPA.
Please consider membership at a higher level.
Your dues and contributions are tax deductible as a business expense and the donation is deductible as a Contribution (we are a 501(c)(3) organization). You can contribute pre-tax money from your IRA and save in two ways — pre-tax money and a deductible contribution. Do what is best for you. You will be listed on our membership site on the basis of your total contribution to CAPA. After you press the "PROCEED TO PAYMENT" button below you will be taken to the payment screen. PLEASE NOTE: PayPal is used to process both credit card payments and PayPal payments. You will receive an auto-generated receipt once you've completed the payment process.