CLPA Donation Form

Make a Donation to CLPA

Donations make it possible to support the growth and visibility of the California Latino Psychological Association (CLPA). It allows us to provide student scholarships and fund students to attend professional conferences and trainings. In addition, financial donations allow us to support the professional development of Latina/o psychologists and mental health providers that serve the growing needs of the Latina/o community. Thank you for your support of the CLPA.

Full Name:

Title/Position:

Address:

City:

State:

Zip:

Professional Affiliation:

Phone Number:

Fax Number:

Email Address:

Gender:

Male

Female

Ethnic Self-Identification:

Are you a member of CLPA?

Yes