Chi Sigma Iota Membership Application

Membership in Chi Sigma Iota, as specified in the CSI Bylaws, is by chapter invitation to both students and graduates of the chapters' counselor education program who meet the membership eligibility criteria specified in the Society's bylaws. Applicants for membership must complete this application and submit dues payment. Incomplete applications (including those without dues payment) will be deleted and cannot be accepted.

Invitation Code
Enter Invitation Code:
Personal Information

(Your name will appear on your CSI Membership Certificate exactly as you enter it below, including spelling and capitalization.)

First Name:
Middle Name:
Last Name:
Suffix:
Mobile Phone:
Birthday:
Email:
Alternate Email:
Mailing Address
Mailing Address 1:
Mailing Address 2:
Mailing City:
State/Province/Location:
Postal Code:
Country:
Physical Address
Same as Mailing:
Physical Address 1:
Physical Address 2:
Physical City:
State/Province/Location:
Postal Code:
Country:
Chapter Information
Choose Member Type:
Choose Chapter:
Master's Degree Information
Current Status:
Date Master's Degree Completed:
Anticipated Master's Degree Graduation Date:
Master's Degree To Be Completed:
Institution Granting Master's Degree To Be Completed:
Final Master's Degree GPA:
Master's Degree Track To Be Completed:
Master's Degree Program CACREP-Accreditation:
Specialist Degree Information
Specialist Degree:
Final Specialist GPA:
Date Specialist Degree Completed:
Institution Granting Specialist Degree:
Specialist's Degree Track:
Specialist Degree Program CACREP-Accreditation:
Doctoral Degree Information
Doctoral Degree Completed:
Final Doctoral GPA:
Date Doctoral Degree Completed:
Institution Granting Doctoral Degree:
Doctoral Degree Track:
Doctoral Degree Program CACREP-Accreditation:
Licensure & Credential Information
I currently hold professional Counseling credentials.
I currently hold professional Counseling state licensure.
I currently hold professional Counseling supervisory credentials and/or state Counseling supervisory licensure.
Opt In Information
Opt In to CSI's Counselor Registry. Allow your designated information to appear in the public Find-a-Counselor Directory search.
Opt In to CSI's Supervisor Registry. Allow your designated information to appear in the public Find-a-Supervisor Directory search.
Consent Section (All items must be checked to fulfill CSI’s Membership Eligibility Requirements)
As a student, I have completed at least one semester of full-time graduate coursework in a counselor education degree program and have earned a grade point average of at least 3.5 or better on a 4.0 system; or, as faculty/alumni, I have met the overall G.P.A. requirement as a graduate of a counselor education doctoral program.
My primary professional identity is as a professional counselor.
I have received an invitation to CSI Membership from my local chapter.
I have read and will accept upon initiation the CSI Membership Oath.
Name:
All * fields are required to be completed. You will be required to make payment before this application is submitted for approval.
Once you click “Submit,” you will be redirected to submit dues payment. If you are not redirected to payment, please contact office@csi-net.org. Incomplete applications (including those without dues payment) will be deleted and cannot be accepted.