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Wisconsin Batterers Treatment Providers Association Membership Application
Choose the Initial Application or a Renewal Application as appropriate.
The below Initial WBTPA Application and the Member Standards Checklist should be submitted for prospective WBTPA members who are applying for their first membership, or if there has been a lapse in time since their last WBTPA membership. You may submit payment and contact information using this link online or mail it with your application forms to the address below.
Current WBTPA members will receive an email notice with a personalized link to renew your membership and update your information online. You will also need to submit the below Renewal WBTPA Application form. This application used by WBTPA members who have maintained their provider status without any time lapse in membership. (Note: Renewal applications will be emailed to current members before the end of the membership year (which runs from May 1 - April 30).
If you are not providing payment and contact information online (from your renewal email or here for new members), please submit the completed WBTPA Payment Form with your check or credit card information to the address listed above. Checks should be written out to End Domestic Abuse WI.
WBTPA Membership Process:
If your application is approved for membership, your name, batterers’ treatment program name, and your office contact information will be available on the WBTPA Listing Directory unless you indicate NOT to do so by checking the boxes in the application. The membership year runs from May 1 – April 30. The below forms are valid for the May 1, 2016 – April 30, 2017 WBTPA membership year.
Submit your application:
Please email your application materials and scanned proof of CEUs to email@example.com. Enclose your payment form as well if you are not paying online.
Optional: if you are not able to email your materials you mail send them to:
End Domestic Abuse Wisconsin
1245 E Washington Ave, Suite 150
Madison, WI 53703