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Student Application

ACCT STUDENT ASSOCIATE APPLICATION

Why become a student associate?

We welcome psychotherapy and counselling students to join our community. We hope that it provides insight into the profession and relevant topics that our community is discussing. It is a place to learn and meet new people.

Requirements to be eligible to apply as a Student Associate with ACCT:

Student applicants must be currently registered in an applied counselling training program that meets current ACCT education criteria, with a minimum of 3 months remaining in their program until graduation.
For those that have three months or less until completion of their counselling program, please wait until you have completed your program and apply for RTCc (RTC Candidate)

Student Associate Guidelines:

Student Associates do not yet have a designation with ACCT and should not use the ACCT badge or logo on their promotional materials or social media sites.
Student Associates do not qualify for liability insurance; they are not practicing counsellors outside of their applied counselling training program class time and/or practicum hours.
Student Associates are non-voting persons of ACCT, and do not require the $100 Share Fee for our Cooperative Association.
Students may attend meetings and join the ACCT community, however they are not able to vote, or be elected to the Board, or join any ACCT committees as a Volunteer until they receive the Designation of Registered Therapeutic Counsellor - Candidate (RTCc) or Registered Therapeutic Counsellor (RTC) member.

Prior to beginning the online application process, it is important to ensure that all required documents are scanned and saved to your computer.

Application costs:

Student Fee - $70.00

ACCT Student Required Documents:

A copy of current resume
Please upload a hand-signed and dated Enrollment Letter from your school

- confirming registration in an applied counselling program
- Include the program start and completion date
- Contracts, invoices and school forms are not accepted as an alternative to an official Enrollment Letter.

By completing and submitting this application, I understand that I am not a voting member of ACCT until I have reached the designation of RTCc at minimum.

I declare that I have READ, UNDERSTOOD and AGREE to follow:

As well, I agree to operate within my Scope of Practice

Your Personal Information:

* First

Middle

* Last

* Date of Birth DD/MM/YYYY

Gender: I identify as:

Pronouns used:

* Have you ever used any other name(s) Yes/No/If other, please list name(s) used (This is important if your uploaded documents are in a different name.)

Your Contact Details:

* Address

* City

* Province

* Postal Code

* Country

Cell Phone

* Work/Home Phone

* Email

Website

School Information

Please upload proof of enrollment and answer these few questions about your school.

* Name of School

* Name of Program

* Expected Date of Completion (day/month/year)

* Expected Date of Completion for Practicum Component (day/month/year)

* File uploads: Resume

* Proof of Enrollment Please Upload an Enrollment Letter (no contracts or forms) confirming the Start and End dates of your Applied Counselling program. The letter should be hand-signed and dated by your school administrator.

If you have anything else you wish to upload, please do that here

Additional information

* Newsletter Opt In I consent to receive newsletters, counselling news and updates, announcements, event invitations, and other electronic messages, which may contain promotions regarding ACCT news, upcoming PD offerings, ACCT community events, our annual AGM etc.

Yes
No

* Logo Use

I am aware that ACCT restricts the use of the ACCT Badge or Logo to those members with designations.

* Pledge

I understand that as a Member of the Association of Cooperative Counselling Therapists, I am an ACCT ambassador and I agree to uphold our values of competency-based counselling, cooperation, teamwork, equality, transparency, lifelong learning and financial accountability. I hereby sincerely pledge these ACCT values and my loyalty to my colleagues and co-owners in ACCT.

Applicant Declaration and Signature

Declaration

I confirm that the information contained in and uploaded with this form is true, accurate and complete. I hereby authorize the officers of ACCT to make such inquiries, as they consider necessary to verify the information given. I understand that any false or misleading statement, falsification of accompanying evidence may lead to disciplinary action being taken against me and may result in immediate termination of my membership. I understand that failure to disclose on application or during the period of membership could lead to disciplinary action and termination of membership.

Payment for Membership Share and Professional Fees do not guarantee acceptance. If you are not accepted, your payment will be refunded minus the processing fee. You must purchase a $100 Membership Share in ACCT in order to be considered for professional membership and this $100 is refundable if you discontinue your membership.

* Declaration Please send us an email using the contact form with any questions you may have.

I agree to read, understand and agree to follow the ACCT Rules, ACCT Standards of Practice, ACCT Code of Ethics and ACCT Philosophy
I agree to operate within my Scope of Practice

* Applicant's Signature By typing your name in the box above you solemnly agree that the contents of this application form are true and that your typed name represents your personal signature.

* Date DD/MM/YYYY

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