Student Membership Application form
  1. New Application form for Student Membership
  2. Personal Information (For Student use only)
  3. First Name(*)
    Please Enter Name
  4. Last name
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  5. Your Address(*)
    Please Enter Address
  6. Username(*)
    Username Already Registered Or Enter Valid Username
  7. Your City(*)
    Please Enter City Name
  8. Select Province(*)
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  9. Postal Code(*)
    Please Enter Postal Code
  10. Home Phone(*)
    Phone Number Format (000-000-0000)
  11. Email(*)
    Email Already Exist or Enter Valid Email Address
  12. Verify Email(*)
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  13. Password(*)
    Please enter password
  14. Verify Password(*)
    Verify Password must match with Password
  15. Your Date of Birth (MM-DD-YYYY)(*)
    Please Enter DOB
  1. Training Information
  2. Name of Training Institute or School(*)
    Please Enter Institute Name
  3. Was the training by accelerated or intensive study?(*)
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  4. Location(*)
    Please Enter Location
  5. Phone(*)
    Phone Number Format (000-000-0000)
  6. Total Hours of Training(*)
    Please Enter Hours
  7. Designation Training Level(*)
    Please select Designation Training Level
  8. Total Hours of Supervised Practicum(*)
    Please Enter Hours
  9. Was the training by extension or home study?(*)
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  10. Start Date (MM-DD-YYYY)
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  11. Anticipated Completion Date of Training (MM-DD-YYYY)(*)
    Please Enter Completion Date
  12. Additional Comments
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  13. All Professional Level Members (RHt/RHP, RCH/RCHP, RCCH/RCCHP) must undergo and provide a current Criminal Records Check (CRC) conducted by the police/RCMP in their local area. The cost of the CRC is the responsibility of the applicant. The CRC must include Vulnerable Sector Check.
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  14. Professional Liability Insurance (PLI) and Commercial General Liability Insurance (CGL) is a mandatory requirement for all professional level members of ARCH Canada. ARCH Canada has group insurance for members that is recommended. Once competency exam is successfully completed, you will be forwarded the PLI/CGL insurance application.
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  1. For Student Membership Only – Practice Information
  2. NOTE: The Following Information Will Be Listed on the ARCH Website.
  3. Please ensure you have checked the information carefully as this will show as your listing on the website. If you do not want to have your information listed in the directory please leave blank.
  4. If you do not wish to be listed on the website please click this box
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  5. Name of Practice
    Please Enter Practice Name
  6. Business Phone Number
    Phone Number Format (000-000-0000)
  7. Business Fax (optional)
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  8. Business email address
    Please Enter Valid Email Address
  9. City
    Please Enter City
  10. Province of Practice
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  11. Business Website URL
    Please Enter Valid Url
  12. Areas of Speciality (optional)
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  13. Other Areas of Certification (initials only)
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  1. Professional Associations
  2. Membership in Other Association/s
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  3. Date Joined
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  4. Membership Number
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  5. Are you a member in "Good Standing?"
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  6. Has your Professional Membership been suspended/terminated in the past 5 years?
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  7. Choose Level Of Membership You Are Applying For:
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  8. Select Category(*)
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  9. Amount to be processed by Paypal
    0.00 CAD
  10. - I declare that I have not been convicted of any Criminal Violation that would preclude me from practice as a Hypnotherapist and remove me from "Good Standing" with ARCH.

    I understand that my professional membership level is valid only if I carry Professional Liability Insurance and Commercial General Liability Insurance that is current and active.

    I give permission to ARCH to list my Name, Name & Location of my Practice/Employer, Client Contact Phone Number, Business Email & Business Website on the ARCH Website unless otherwise stated.

    - I understand that all information in this application, along with subsequent information is placed in my membership records and will be used for purposes of admission, registration, research, alumni and development, and other purposes consistent with the mandate of ARCH. The use of this information will be in compliance with the Freedom of Information and Protection of the Privacy Act of Canada. Any question concerning the collection and use of this information should be directed to the Director of Membership.

  11. I understand that once the membership dues are processed that they are non-refundable.
  12. By submitting this application, I declare that I have read, and am in complete agreement with the Code of Ethics and Standards of Practice of ARCH and support the Goals and Objectives and Mission of the Association.
  13. I agree to and understand that non-compliance to the above will render my membership invalid without recourse.
  14. Signature(*)
    Please check box to confirm the information in this application is true.
  15. (*)

    Fill this box
  16. Please do not close window after click on send button. PayPal will redirect to ARCH site after payment is completed

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