Membership Application
Name: Date:

Address:
Postal Code: Telephone:

Employer:

Address:
Present Position:

Education:

Would you like to serve on a committee? Yes No

Membership Requested:

Full Membership: $35.00

Associate Membership: $25.00

Student Membership: $20.00

Agency Membership: $125.00

Please make cheques payable to Child and Youth Care Association of New Brunswick Inc.

MEMBERSHIP CATEGORIES AND FEE SCHEDULES

Full Member $35.00/year: Available to practitioners providing or supporting specialized care to children, youth and their families.  Full members have voting privileges.  (Includes CYC workers, trainers, educators, supervisors, managers).

Student Member $20.00/year: Available only to students enrolled in a full-time course of studies related to child and youth care practice.  Please send a copy of enrollment documentation with this form.  Student members have voting privileges.

Associate Member $25.00/year: Available only to individuals whose primary affiliation is to another human service profession, who supports the aims and objectives of CYCANB. Associate members do not have voting privileges.

Agency Member $125.00/year: Available to agencies which support the aims and objectives of CYCANB.   Agency members do not have voting privileges.

CYCANB reserves the right to refuse any membership.




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