Associate Individual Membership

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Associate Individual Membership Application

Your Name*

Email Address*

Tel No.*

Mailing Address*

City*

Province*

Postal Code*

Please tell us a little bit about yourself and describe how your values and/or personal experiences align with BCSTH’s mission and mandate.*

Please describe your reasons and interests in becoming a BCSTH Associate Individual Member.*

What BCSTH membership benefit would you like to participate in most?*

Online Training Discount

Annual Training Forum Discount

Free webinars and access to webinar library

BCSTH Weekly Newsletter

BCSTH Library and resources

Other (please specify)

Other Programs*

Do you have any professional or volunteer connections supporting women, children and youth experiencing violence?*

BCSTH Bylaws require the following for you to be considered as Associate Individual Member. Please check if it applies to you.*

You are not in any conflict of interest with the Society. (The Society defines a conflict of interest as a situation in which an individual’s ability to exercise judgement or act in one role is, could be, or is seen to be impaired or otherwise influenced by their involvement in another role or relationship. A conflict of interest with the Society could be a direct or indirect financial interest, a non-financial or personal interest, or competing loyalties between the Society’s interests and a primary duty to another person or entity, or both.)

Associate Individual Membership Application

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