Credentials *
MD DO PhD PsyD Other
Name *
Phone *
Email *
Organization
Address *
Select Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Armenia Aruba Australia Austria Azerbaijan Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia and Herzegovina Botswana Bouvet Island (Bouvetoya) Brazil British Indian Ocean Territory (Chagos Archipelago) British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Canada Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curaçao Cyprus Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kazakhstan Kenya Kiribati Korea Korea Kuwait Kyrgyz Republic Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Netherlands) Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia & S. Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard & Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Website
Referred by
Next
This section seeks information about the number of years and percentage of time spent in stress management over the course of your career. Please provide appropriate employment data beginning with your current position and describe your professional experiences NOTE: If you have uploaded your recent CV, you may skip this section.
Current Title / Responsibility
Current Title / Responsibility
Current Title / Responsibility
Awards
List any individual awards recognizing your stress management expertise or professional designations, such as certification or any other related diplomate/fellowship credentials. Please provide information on the name, purpose, sponsoring organization, date, qualification and any other data relevant to the award/recognition that you have earned.
Award/Recognition
Award/Recognition
Award/Recognition
Back Next
Educational History
List any individual awards recognizing your stress management expertise or professional designations, such as certification or any other related diplomate/fellowship credentials. Please provide information on the name, purpose, sponsoring organization, date, qualification and any other data relevant to the award/recognition that you have earned.
Academic History
Academic History
Academic History
Participation
Please indicate the areas in which you would like to participate. We will contact you prior to placing you on any contributor schedule, committee or board to make certain your schedule can accommodate the added commitment.
Interest in Participating/Contributing
Please indicate the areas in which you would like to participate. We will contact you prior to placing you on any contributor schedule, committee or board to make certain your schedule can accommodate the added commitment.
I would like to be included in the Speakers Bureau I have programs developed that I'd like to share I will develop programs for AIS I will consider pro bono presentations and media interviews I would like to contribute to Contentment Magazine I would like to contribute to Combat Stress Magazine I would like to contribute to the blog
I am interested in serving on the following committee(s)
Annual Stress Summit Committee Annual Giving Committee Continuing Education Committee AIS Accreditation Committee
I am interested in serving on the following board(s)
Science and Education Board Combat Stress Board Daily Life Stress Board
Back Next
My area of interest is:
I would like to contribute in the following way(s) not listed above:
Back