Professional Membership Form

Join as a Professional Member

Thank you for your interest in joining COLORAMA! We are glad to welcome you as one of our members. To get started, please complete and submit the form below. You will then be taken to the checkout area where you can submit payment for your membership.
All memberships will be verified by the membership committee and approved by the membership chair upon receipt. COLORAMA reserves the right to reject a membership application, with full refund, if the membership committee cannot verify your credentials.
Note that we may require additional documentation, including but not limited to current transcripts provided by your program or school, proof of current professional memberships in good standing, and (for professional membership applicants) proof of current continuing education credits.

professional membership Application Form

* Indicates required field

Legal Name *

First

Last

Spiritual Name *

Phone Number *

Email *

Permanent Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Permanent Mailing Address Type *

Name of Business or Practice *

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Business Phone Number *

Business Email *

Website *

Most Recent School or Program Attended *

Level of Training Completed *

If Other, Please Specify *

Date Completed (MM/YYYY) *

Please upload a copy of your highest certification earned *

Max file size: 20MB

Please upload a copy of your resume or CV *

Max file size: 20MB

By submitting my application for COLORAMA membership, I attest that the information provided on my application and all supporting documentation is accurate, true and correct. *

I agree

Submit

Join as a Professional Member

professional membership Application Form

Address

Telephone

Email