Association of Intervention Specialists

Clouds

Membership Application

You can apply for AIS membership by completing this application and submitting it online. Thank you for your interest in AIS! The information you provide will appear on your listing on the website.  Please fill out as you would like the information to read.

View membership application pdf (to download, right-click and “Save As”)

AIS Membership Chairperson
TONDRA K. FRISBY CDCA, CIP
S.T.E.P. INTERVENTION SERVICES
www.step-interventions.com
P.O. BOX 1914
SANDUSKY, OHIO 44870

Contact Stephen Cooke for information at: scooke@naatp.org

Association of Intervention Specialist Administrative Offices
AIS
11380 Prosperity Farms Rd. Ste., 209A
Palm Beach Gardens, FL 33410
561-408-2759

Disclaimer: Please be aware that most of the information entered below will appear in your public member profile in the AIS directory, unless otherwise specified.
  • 1Create User
  • 2Payment Information
This information will not be published. It will be used for user functions (e.g. password recovery)
Separate multiple credentials with commas
What is this? ▼

AIS Membership Criteria

Full Member

A professional meeting the following criteria shall be considered a practicing interventionist eligible for Full membership in the Association:

  1. Has professionally conducted and/or assisted with interventions in connection with addictive illness on a regular basis for the past two calendar years, and anticipates that regular participation in structured interventions will continue to be a primary focus of his/her professional career;
  2. Is currently certified or licensed by an accredited state or national organization in any field relating to mental health or addictive illness;
  3. Can document successful completion of a recognized intervention model such as ARISE, Johnson, or Family systemic;
  4. Is currently registered with the International Interventionists Credentialing Board (IICB) in good standing and provides current documentation;
  5. Provides proof of current malpractice insurance in an amount totaling no less than three million dollars ($3,000,000);
  6. In order to maintain full membership status the member must attend a minimum of one AIS meeting every two years.
Candidate Member

A professional meeting the following criteria and abiding by the following guidelines shall be considered a Candidate member in the association after completing an application and paying dues.

  1. Has some knowledge of or interest in addictive illness with a focus on interventions;
  2. Completes a written commitment to support the Association’s mission statement and abide by the IICB Code of Ethics;
  3. Agrees not to use AIS initials after their name or claim membership other than “Candidate” status;
  4. May attend all AIS meetings at own expense;
  5. Has no voting privileges;
  6. May attend but not participate in Board meetings and closing sessions or any other session identified by the President;
  7. Candidate members must be registered and in good standing with the AISCB within three (3) years of becoming a candidate and can not reapply for two (2) years.
Emeritus Member

This is a voting membership category. Any full member who is in good standing that retires from actively conducting interventions or takes a sabbatical may apply for Emeritus status.

  1. The member may apply to the Membership Committee in writing their intent and date to retire or takes a sabbatical from conducting interventions;
  2. The Emeritus members shall retain all rights and privileges of Full members and are not required to attend any number of meetings;
  3. An Emeritus member shall only pay 50% of what Full members pay;
  4. Agrees not to use the AIS initials after their name;
  5. Emeritus members need not continue to be registered with the IICB.

Member Contact Information

Hint: Separate multiple websites with commas
This information will be published
This information will not be published
This information will be published on your public profile

Full Member Information

Background

Work experience related to intervention; where you have worked, when, and what duties you performed.

Training / Credentials

Training and/or educational experiences related to intervention, degrees, licenses, etc.

Style of Intervention

Brief statement of philosophy.

Types of Interventions offered

Alcohol/Drug, Eating Disorders, Sexual Trauma, etc.

Geographical Locations

Areas where you will facilitate interventions.

Other services offered

List any other services you offer.

Other pertinent information

This information will not be published.
 
Seabrook