American College of Sexologists | Individual Membership Application

Individual Membership Application

If you prefer to mail your application, download a PDF version here.

Mail your application and application fee (cashier’s check or money order payable to American College of Sexologists in United States funds) to:
ACS
1966 TICE VALLEY BLVD #514
WALNUT CREEK, CA 94595-2203

Individual Membership Application

Step 1 of 3

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1. Academic or Professional Development Training in meeting one (1) of the follow criteria:
a. Transcript, Diploma or Certificate of Graduation from an Academic Program focused on the above studies (to be approved by the ACS Board of Examiners); or
b. Transcript(s) documenting 300 hours of academic training related to the field of Sexology, Sex Education, Erotology, Somatic Sexuality, Tantra & Spirituality, Alternative Lifestyles, Adult Toys & Novelties, and Erotic Filmography; or
c. Documentation of two years of full-time work as a Sexologist, Sex Educator, Academician or Researcher in the field of above studies; or
d. Life experiences such as filmmaking, author of books, blogs, articles, adult toy retailers, pleasure party consultant and entrepreneurial endeavors. (Eligibility for academic credit based on life experience will be determined at the discretion of the ACS International board.); and
2. Submission of this completed online application along with your non-refundable application fee of $300.00 to be paid via PayPal immediately after submission. (You will be required to upload copies of required documentation in this online application.)
Please choose a membership type:*
Name*
First Last
Email*
Enter Email Confirm Email
Website
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
Your Preferred Mailing Address
Phone*
Educational Background
Institution # of Years Degree

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Employment & Life Experience
Please begin with current position
Employer/Experience # of Years Title/Position

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Academic and/or Clinical Training
Institution/Sponsoring Agency Years/Hours Department, Program or Title/Description of Course

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Affiliations (i.e. AASECT, SSSS, ISSWSH, etc.)
Organization Type of Affiliation Member Since

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Reference
Please supply information of one individual who is familiar with your work:
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email

Please upload your scanned documentation of training, work and/or accomplishments in the field of Sexology, Erotology, Sex Education, Somatic, Esoteric, Adult Toys & Novelties or Alternative Lifestyle Specialist.

If you do not have these documents or will be delivering them to ACS by other means, you can skip this page.
Upload Documents Here
Drop files here or

Accepted file types: pdf, jpg.

Notes and Additional Information
*
- 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.
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- By checking this box, I agree to the terms and conditions above.
Signature
ACS Individual Membership
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.

Individual Membership Application

Individual Membership Application

Step 1 of 3

Educational Background

Employment & Life Experience

Academic and/or Clinical Training

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

Reference

Please upload your scanned documentation of training, work and/or accomplishments in the field of Sexology, Erotology, Sex Education, Somatic, Esoteric, Adult Toys & Novelties or Alternative Lifestyle Specialist.

If you do not have these documents or will be delivering them to ACS by other means, you can skip this page.

Terms & Conditions

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