Membership Applications

Standard Membership

For Albertans only. An individual must demonstrate at least one of the following: Living or going to school in Alberta, Working as a Child and Youth Care Counsellor, CYCA Administrator, CYC Supervisor, CYC Instructor/Trainer, Individual holding a CYC diploma or degree, Full or Intermediate Certification in Alberta.

Student Membership

An individual enrolled in a Post Secondary CYC program in Alberta, or an individual living in Alberta but going to school out of the province. This membership is a yearly fee. All students with a paid student membership receive one FREE year of membership following graduation upon proof of graduation.

Organizational Membership

Organizations/Agencies/Programs that work with children, youth, and/or families that accept our code of ethics can have workshop/employment information listed on our website. Membership for agencies/organizations provides two votes at any general meeting.

Membership Application

"*" indicates required fields

Step 1 of 2

Please select the Membership option you would like to purchase.*

Proof of Alberta Residency is required to proceed.

A current Alberta driver’s license or Alberta identification card OR
A current utility (Gas, Electric, Phone, Cable etc.) bill with Alberta residence address, dated in the last three months OR
A current pay stub, dated within the last three months.

Proof of Alberta Student Status is require to proceed.

A current student identification card OR
Proof of student status that includes: name, student ID number and name of their college/university
A coupon code from your College/University you can upload an image of that email
This will be required each year the membership is renewed

Document of Proof Upload*

Up load your documents here..

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB, Max. files: 4.

Need assistance? Contact our Office Administrator at (403) 437-4154 or info@cycaa.com.

Your Personal Information

As the Primary Contact for your Organization, please use your organisational email address, and direct phone number if possible.

Name*

First Last

Address*

Street Address Address Line 2 City Province Postal Code

Phone Number*

Email Address*

Please use a personal email address, not your organzational or school email address if possible.

Enter Email Confirm Email

Your Organizational Information

Please list the primary organization with whom you are currently employed, including hours you have been employed with them.
Please note: 2000 hours equals one year.

Organization*

Organization Address*

Street Address Address Line 2 City Province Postal Code

Organization Phone*

Length of current employment*

Enter your time in hours or years. For example 4000 hours or 2 years
Please note: 2000 hours equals one year.

Organizational Website*

Please note: you must include the http:// for the website to enter without error.

Your Educational Information

Please fill in the information for your Educational Institution, the Program you are entered in with anticipated Graduation Date.

Please fill in the information for your Educational Institution, the specific Program completed with Graduation Date.

Choose one*

Completed CYC Diploma or Degree

Post-Secondary Education other than CYC

Not Applicable

Institution*

Program*

Graduation Date*

This field is hidden when viewing the form

Educational Information*

Institution

Program

Graduation Date

Institution*

Program*

Graduation Date*

This field is hidden when viewing the form

Student Educational Information*

Graduation date = your anticipated Graduation Date

Institution

Program

Graduation Date

User Information

Username*

DO NOT USE YOUR EMAIL ADDRESS, PLEASE!

Password*

Enter Password Confirm Password

Your Payment Information

Total

Once this form is submitted, you will be taken to the checkout screen where you can complete your membership purchase.

Personal Information Protection

The information requested in this form is collected under the Personal Information Protection Act for the Child and Youth Care Association of Alberta’s internal use only. No information contained in this form will be disclosed to any other individual, group, or agency as per the Confidentiality Policy of the Child and Youth Care Association of Alberta. Questions concerning this collection should be directed to info@cycaa.com.