American Psychological Association Division 40 (Clinical Neuropsychology) Records

(Mss. 4745)

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American Psychological Association
1997 Division Description Approval Form

Instructions: Please read the attached copy of the statement from your division which appeared in last years division/state and provincial association mission/description brochure. Complete this form by checking the applicable line and return the form with the revised typewritten statement in the envelope provided or fax to (202) 336-6157. Please return the completed approval form only, and check the applicable line if no changes are being requested.



_____  I have read the attached memo and copy. My revised typewritten copy is attached.

_____  I have read the attached memo and copy, and my division has no changes to the statement.



Signature

Print Name

Title

Division

Telephone #

Fax #

Form must be received no later than close of business, September 13, 1996.

Please return in the envelope provided to:

Election Officer
American Psychological Association
750 First Street, NE
Washington, DC 200024242
(202) 336-6087
Fax (202) 336-6157
 
 

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