Interested in Joining Us? Membership Requirements(Required)In order to join Collaborative Divorce Austin, there are three requirements listed below. Please check each item to confirm you meet these requirements. I am a current member of Collaborative Divorce Texas. I have attended a formal collaborative training. I understand that the membership dues are $200 annually. Section BreakHow did you find out about Collaborative Divorce Austin?Name(Required) First Last Suffix Profession(Required)In what professional capacity will you be joining CDA? Attorney Financial Professional Mental Health Professional Clinical Psychologist Licensed Professional Counselor Licensed Marriage & Family Therapist Licensed Clinical Social Worker Student Other Explanation of ProfessionIf you selected “Other” in the above question, please provide more details.Law Firm or Business NameEmail(Required) Phone(Required)PhoneAddress(Required) Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Website Do you want to be listed on the CDA website?(Required) Yes No Profile PictureMinimum dimensions 500px x 500pxAccepted file types: png, jpg, webp, Max. file size: 256 MB. Section BreakLicense(Required)Do you currently hold an active license as an attorney, mental health professional or financial professional? Yes No LicensesPlease list any licenses or registration with state bars. Include Licensing Institution / Year Licensed.Click the Plus sign to the right to add more. Add RemoveCertificationsPlease list any certifications such as TBLS and year of certification.Click the Plus sign to the right to add more. Add RemoveBilingual(Required) Yes No Second Language(Required)Social Media PlatformsClick the Plus sign to the right to add more.Social Media PlatformLink to your profile Add RemoveProfessional VideosSimply enter the URL of your Vimeo video file, eg. https://vimeo.com/123456789. (Your video’s privacy settings must allow embedding.) Click the Plus sign to the right to add more. Add RemoveProfessional ActivitiesClick the Plus sign to the right to add more. Add RemoveAre you Credentialed? Credentialed Master Credentialed Board Certified in Family Law Board Certified in Family Law Section BreakCD Austin Annual Membership Price: Testing Price: Total Payment Method(Required)PayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name After submitting your payment, it might take a couple of seconds for the form to redirect you to the confirmation. Please don’t resubmit or refresh during this time.No longer being usedThese are no longer being used, but if they are deleted, it will delete their history.ProfessionMessage
