Psyvo Membership Registration

Psyvo Membership Application

Psyvo Inc. membership is for counselors prepared to lead, provide compassionate care, and shape the future of mental healthcare. If you have met these rigorous qualifications, we expect your application. Submit your credentials and prove you belong among the brightest in our community.

First Name

Last Name

School Name

School Email Address

Birthday

Phone Number

Preferred method of contact

Gender

Race/Ethnicity

Current Classification

Counseling Professional License Track

Expected or Actual Graduation Date

What is your current overall GPA

Total semester hours completed

Are you classified as an international student by your school?

Yes No

Mailing Address

Address Line 2

City

State

Zip Code

Consent & Certification

I have read and accepted the Psyvo Inc. Membership Terms.

I consent to receive communications from Psyvo Inc. regarding products, services, and promotions. Your email will not be shared with third parties.

I certify that all information is true and accurate. I authorize Psyvo Inc. to review my records for the sole purpose of determining my membership eligibility.

Enter Your Full Name to Certify