Autism Society of British Columbia

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APPLICATION FOR SOCIETY MEMBERSHIP
To: AUTISM SOCIETY OF BRITISH COLUMBIA (Doing Business As: AutismBC)
And To: The Directors of the Society
Contact Details
First Name *
Last Name *
Email *
City *
Province *
Membership Group *	Autistic Adult Other Family Member Parent of a Child on the Autism Spectrum Parent of an Adult on the Autism Spectrum Professional in the Field
Membership Goals
What is your primary reason for wishing to become a Society Member? *
Please describe how you became interested in AutismBC’s mission? *
Do you have a personal connection to autism and/or the goals of AutismBC? *
How have you been involved with AutismBC and/or the autism community in the past? *
What direction would you like to see AutismBC going in the future? *
Please explain the attributes, skills and qualifications that you can offer as a Society Member. *
I confirm the following:
I Confirm *	I am interested in and committed to strengthening the purpose of AutismBC as set out in the Mission; I am 19 years of age or older; I am working in or a resident of British Columbia; I am aware that the term of membership is annual and expires immediately after the Annual General Meeting in accordance with the bylaws of the Society; Upon acceptance of my application, I agree to pay any annual membership dues or other fees, which may be set from time to time in accordance with the bylaws of the Society; I have provided my contact information for the purposes of receiving notices and other correspondence from AutismBC and for inclusion in the Society’s Register of Members; I understand that providing contact information is required for membership in the Society under the Societies Act (B.C.) it can be business or personal contact info; I acknowledge that this contact information may be disclosed and made available for the purposes of inspection and use by other members and directors of AutismBC to the extent required; I agree to receive communication from AutismBC via electronic mail instead of mail; I attest that by applying to become a Member of the Society, I am committed to the Mission of AutismBC and am in agreement with all of the above; If I am accepted as a Member, I will honour this commitment in my conduct and uphold the Society’s protocols, policies, and guidelines; If my application is successful, I give AutismBC my commitment to help guide the organization; I agree to endeavour to attend all general meetings of the Society and use my vote to guide AutismBC in their vision and mission.

Name / Signature:

Timeout Warning

APPLICATION FOR SOCIETY MEMBERSHIP

Contact Details

Membership Goals

I confirm the following: