Click this link to download the 2010 - 2011 AFCA membership form

AFCAMembershipform201011.pdf

AFCA Membership Application July 2010-June 2011

To be eligible for Membership of AFCA you are either

a)    Employed as ‘Detached’ Family /Adolescent & Family Counsellors, whether funded by the
 Department of Community Services or other funding bodies, or

b)   Employed by community-based agencies and receiving funding from Government bodies, 
and working in a similar capacity to Detached Family/Adolescent & Family Counsellor, or

c)    A former member of AFCA , or

d)   Employed under similar job descriptions

Members are eligible to vote and hold office, receive newsletters, attend AFCA general meetings,
 attend and present at AFCA Conferences and Workshops.

Membership benefits include: reduced training costs, AFCA conference and members service
 listing on the AFCA website & participation in regional AFC meetings.

Name:                     _____________________________Current Position Title:___________________________

Employer:                _______________________________________Address:

Postal Address:       _________________________________________________Phone:____________ Fax:____________

Email:_________________________  Web Address:            _________________________________________________

Are you employer a community based management committee?                                           Yes/No

How is your project funded?  (Eg. DoCS-CSGP, DoCs-SAAP, FACS,  Anglicare etc)____________

Home Phone:          ________________Private Address:      ____________________________________

How many hours per month counselling supervision do you have currently?  __________

New applicants please attach resume, detailing qualifications and counselling/therapy 
experience as well as a copy of your job description.

Membership fees:

Membership fees are due on the 1^st  July each year.  The fees must be paid before 30^th 
September for members to be financial. An early bird fee applies if paid prior to August 30^th.

The membership fees are payable as follows:

·         $50.00 per person if paid prior to August 30^th.

·         $65.00 per person between August 30^th and December 30^th

·         Multiple AFC’s in one service - $50.00 early bird fee ($65.00 normal) for the first two
 AFC’s – subsequent AFC’s @ $25.00 each.

·         These fees are non refundable.

I agree to uphold the A.F.C.A. Code of Ethics and Constitution. Signed: ______________________ 
Date: ______

Please make cheques payable to A.F.C.A. and mail with this form to:

AFCA Inc

Joanne Khurana (AFCA Membership Officer)
P.O Box 6191.  Blacktown NSW 2148