American College of Sexologists | Diplomatic Membership Application

Diplomatic Membership Application

Step 1 of 4

25%

ACS members must meet the following requirements to earn Diplomatic status:
- Be a certified member in good standing of The American College of Sexologists for a minimum of nine (9) years.
- Submit a completed Diplomatic Application Form.
- Provide documentation of work and accomplishments in the field of Sexology since original certification by ACS.
- Completed reference forms by three individuals, two of whom are currently members in good standing with ACS, and are knowledgeable of your work and accomplishments in the field of Sexology.
- Submit a $300 non-refundable application fee (in US funds) made payable to “The American College of Sexologists.”
Diplomatic certification will be good for three (3) years from date of issue. A renewal application and a $200 fee will be required every three (3) years thereafter to maintain Diplomatic status.
Name
First Last
Email
Website
Social Networks
Name URL

Click the + toward the right to add additional social networks
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Office Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone

ACS Certification Verification
Upload copy of your original certificate and any additional documentation of work and accomplishments in the field of Sexology, since original certification by ACS including training in Erotology, Education, Somatic, Esoteric, Adult Toys & Novelties, Alternative Lifestyle Specialist or Erotic Filmography.
File Upload
Drop files here or

Accepted file types: jpg, pdf.

References
Please supply three (3) references from professional associates who are familiar with your work.
Reference 1 Name
First Last
Reference 1 Degree/Certification Earned
Reference 1 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 1 Phone
Reference 1 Email
Reference 1 Website
-------------------------------------------------
Reference 2 Name
First Last
Reference 2 Degree/Certification Earned
Reference 2 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 2 Phone
Reference 2 Email
Reference 2 Website
-------------------------------------------------
Reference 3 Name
First Last
Reference 3 Degree/Certification Earned
Reference 3 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 3 Phone
Reference 3 Email
Reference 3 Website
Affiliations (i.e. AASECT, SSSS, ISSWSH, etc.)
Organization Type of Affiliation Member Since

Click the + toward the right to add more affiliations

- By checking this box, I agree to have my name, contact information and specialties listed in the membership directory.
*
- I hereby certify that the information submitted in this application is accurate to the best of my knowledge, and permit The American College of Sexologists International to verify any information I have submitted.
Terms & Conditions
Disclaimer
This website is provided “as is” without any representations or warranties, express or implied. The American College of Sexologists International makes no representations or warranties in relation to this website or the information and materials provided on this website.

Nothing on this website constitutes, or is meant to constitute, advice of any kind. If you require advice in relation to any [legal, financial or medical] matter you should consult an appropriate professional.

Indemnity
You agree to indemnify and hold The American College of Sexologists International its subsidiaries, affiliates, officers, agents, and other partners and employees harmless from and against any and all liability and costs incurred by The American College of Sexologists International or the Affiliates in connection with any claim arising out of any breach or alleged breach of any of your obligations set forth herein. Additionally, you agree to that The American College of Sexologists International is not liable for any indirect, special or consequential loss; or for any business losses, loss of revenue, income, profits or anticipated savings, loss of contracts or business relationships, loss of reputation or goodwill, or loss or corruption of information or data.

Liability
Under no circumstances shall The American College of Sexologists International be liable for direct, indirect, incidental, special, consequential or exemplary damages (even if The American College of Sexologists International has been advised of the possibility of such damages), resulting from any aspect of your use of The American College of Sexologists International website, whether the damages arise from use or misuse of the website, from inability to use The American College of Sexologist International website, or the interruption, suspension, modification, alteration, or temporary termination of The American College of Sexologists International website. Such limitation shall also apply with respect to damages incurred by reason of other services or products received through or advertised in connection with The American College of Sexologists International site. These limitations shall apply to the fullest extent permitted by law. In some jurisdictions, limitations of liability are not permitted. In such jurisdictions, some of the foregoing limitation may not apply to you.

As with any on-line interaction and electronic communication, there is an inherent risk involved in transmitting any information via the Internet. The American College Of Sexologists International does not and cannot guarantee that its system is free from hackers or viruses or that information provided by users to The American College Of Sexologists International will not be stolen or otherwise surreptitiously obtained. nugs.net is not responsible or liable for any infections or contamination of your system or delays, inaccuracies, errors, or omissions arising out of your use of this Site or with respect to the Materials contained on this Site. You hereby acknowledge and understand that such risk is inherent in interacting with any website, including this Site, and take full responsibility for any harm, danger or damage that ensues due to any such breach in security. Pursuant to these Terms of Use, The American College of Sexologists International expressly disclaims any such liability.

The American College of Sexologists International is not responsible or liable for any infections or contamination of your system or delays, inaccuracies, errors, or omissions arising out of your use of this Site or with respect to the Materials contained on this Site. You hereby acknowledge and understand that such risk is inherent in interacting with any website, including this Site, and take full responsibility for any harm, danger or damage that ensues due to any such breach in security.

Pursuant to these Terms of Use, The American College of Sexologists International expressly disclaims any such liability. In addition, you agree to be responsible for obtaining and maintaining all telephone, computer hardware and other equipment needed for access to and use of this Site and you shall be responsible for all charges related thereto will not be stolen or otherwise surreptitiously obtained.

The American College of Sexologists International is not responsible or liable for any infections or contamination of your system or delays, inaccuracies, errors, or omissions arising out of your use of this Site or with respect to the Materials contained on this Site. You hereby acknowledge and understand that such risk is inherent in interacting with any website, including this Site, and take full responsibility for any harm, danger or damage that ensues due to any such breach in security. Pursuant to these Terms of Use, The American College of Sexologists International expressly disclaims any such liability. In addition, you agree to be responsible for obtaining and maintaining all telephone, computer hardware and other equipment needed for access to and use of this Site and you shall be responsible for all charges related thereto.

In addition to any other rights of the parties set forth herein, either you or may cancel or terminate this Agreement at any time in accordance with the help instructions. The American College of Sexologists International also reserves the right to restrict, suspend or terminate your access to the Fee-Based Services and/or any part of the Site, in whole or in part, without notice, with respect to any breach or threatened breach of any portion of this Agreement. If The American College of Sexologist International terminates this Agreement based on a breach of any portion of this Agreement, The American College of Sexologists International reserves the right to refuse to provide any Fee-Based Services or other services to you in the future.

You agree that we may, in our sole discretion, at any time and without cause, may terminate your use of the Site or any portion of the Site, without liability to you.

Reasonableness
By using this website, you agree that the exclusions and limitations of liability set out in this website disclaimer are reasonable. If you do not think they are reasonable, you must not use this website.
*
- By checking this box, I agree to terms and conditions above.
Signature
Use your mouse to sign your name in the box above.
Diplomatic Membership Application Fee
Price: $300.00
Please pay US$300.00 non-refundable 3-year application fee via PayPal. Renewal fee thereafter will be US$200.00 every 3 years.
Once you click Submit Application & Pay you will be directed to PayPal to pay the application fee of US$300.00. If you do not have a PayPal account, be sure to select the option "Pay with a debit or credit card, or Bill Me Later" to get the standard credit card form.

Diplomatic Membership Application

Diplomatic Membership Application

Step 1 of 4

Diplomatic certification will be good for three (3) years from date of issue. A renewal application and a $200 fee will be required every three (3) years thereafter to maintain Diplomatic status.

ACS Certification Verification

References

Affiliations (i.e. AASECT, SSSS, ISSWSH, etc.)

Terms & Conditions

Cart