If
a local group of professionals desire to form an
ISSTD Component Group, they may make application for
this status by using the following procedure:
• The local group should
choose one of their members to act as ISSTD
Contact Person with the ISSTD Component
Groups Chairperson(s) and the ISSTD managerial staff.
This ISSTD Contact Person must be
a current member of ISSTD.
• The ISSTD Contact Person should
request an ISSTD Component Group Status Application
form from ISSTD managerial staff person, at ISSTD Headquarters
either via the ISSTD web site, by:
or by snail
mail:
Therese Clemens
International Society for the Study of Trauma and Dissociation
8201 Greensboro Drive, Suite 300
McLean , VA 22102
USA
The ISSTD staff person will check weekly for newly
completed applications and process them as soon as
feasible.
• In submitting the applying group's
application, the ISSTD Contact Person should
also include a roster of current members of their
group, along with clear indication (using * next
to each member's name) of which members are also
current members of the ISSTD. ISSTD By-laws require
that one member of the Component Group be a current
member of the ISSTD, function as ISSTD Contact
Person , and be responsible for maintaining
ISSTD standards, goals, and adherence to the ISSTD
mission statement, and submitting the annual Component
Group report.
• The applying group should also select
a name and should refrain from using the words “international” or “chapter” in
its name.
(Some examples of possible local Component Group
names are: The [name of city or locale] Dissociation
Study Group; Trauma and Dissociation Study Group
of [name of city or locale]; [name of city or locale]
Study Group; Southwest [name of state] Component
Study Group of the ISSTD.)
The ISSTD management staff person will
then:
• Verify that the ISSTD Contact
Person of the local group applying for
membership is a current member of the ISSTD by checking
his/her name with the ISSTD membership roster .
• Verify that the group has not used
the words “international” or “chapter” to
name itself.
• Forward the verified application to
the ISSTD Component Group Chairperson(s) by e-mail
attachment, fax, or snail mail.
• For applications not meeting criteria,
notify the group's ISSTD Contact Person ,
inform them of the failure to meet ISSTD Bylaws criteria
of contact person ISSTD membership or ISSTD Policy
regarding name choice and invite them to reapply
when criteria are met.
The ISSTD Component Group Chairperson(s) will:
• Review the local group's application
and the ISSTD management staff's verification of the ISSTD
Contact Person 's ISSTD membership criteria
and correct name selection.
• Notify the Executive Council by e-mail
of the addition of the new Component Group.
• Notify the local group's ISSTD
Contact Person that they have been conferred
ISSTD Component Group status in accordance with
ISSTD Bylaws.
• Direct the local group's ISSTD
Contact Person to register their group
on the ISSTD Component Group section of the ISSTD
web site if they so choose and notify the web site
committee chairperson of the newly accepted group.
• The ISSTD managerial staff will:
• Maintain a roster of ISSTD Component
Groups, their ISSTD Contact Person ,
and the group's roster indicating (by *) which members
of this local group are also ISSTD members.
• E-mail updated copies of the Component
Group's roster to the ISSTD Component Groups Chairperson(s)
each time a new Component Group is added to the roster.
• Group ISSTD Contact Person (whom
ISSTD can contact regarding information for the group,
e.g., completion of Annual Report at time of membership
renewal):
______________________________________________________________________________
(Street or PO City State or Province Postal Code
Country)
• Roster of group members. Please list
group members' names and ISSTD membership status below
and attach roster showing: First and Last names,
professional licensure, address, telephone & fax
numbers,
e-mail address, and ISSTD membership status
(indicated by * next to ISSTD members' names) of all
members of your local group.
List Local Group Member's name and then whether they are or aren't an ISSTD Member?
1. _______________________________________________
Yes
No
2. _______________________________________________
Yes
No
3. _______________________________________________
Yes
No
4. _______________________________________________
Yes
No
5. _______________________________________________
Yes
No
6. _______________________________________________
Yes
No
7. _______________________________________________
Yes
No
8. _______________________________________________
Yes
No
9. _______________________________________________
Yes
No
10. ______________________________________________
Yes
No
11. ______________________________________________
Yes
No
12. ______________________________________________
Yes
No
______________________________________ _____/_____/________
(Signature of ISSTD Contact Person) Date
This section to be completed by ISSTD
Management Staff
1. Date application received by ISSTD management
staff: _____/_____/__________
2. Group refrains from use of words “international” or “chapter”?
Yes
No
3. Verification of ISSTD Contact Person 's
ISSTD membership:
• Number of members in local group: ______.
• Number of local group members who are
also ISSTD members: ______.
• ISSTD Contact Person 's
ISSTD membership criteria met?
Yes
No
4. If “Yes,” date verified application
sent to ISSTD Component Group Chairperson(s):
_____/_____/_______
5. If “No,” date notification of denial
of ISSTD Component Group Status was sent to local
group ISSTD Contact Person by ISSTD managerial
staff, informing them of the failure to meet ISSTD
Bylaws criteria and inviting them to reapply when
these criteria are met. Copy of this notice
should be sent to ISSTD Component Groups Chairperson(s).
6. Date ISSTD Component Group Chairperson(s) notified
Executive Council regarding conferral or denial of
ISSTD Component Group status to this local group:
____/____/_____.
7. Date conferral of ISSTD Component Group status
notification sent to local group ISSTD Contact
Person by the Component Group Chairperson(s):
_____/_____/__________.
8. Date conferral information forwarded to ISSTD
web site chair for posting to web site (if this
group chooses to register): _____/_____/__________.
