The Application form is in .pdf format and requires Adobe Acrobat Reader.
Application Form Notes
Please read these notes carefully when completing your application form.GENERAL INFORMATION
Please complete the first section in BLOCK CAPITAL LETTERS throughout.
Your name will be inscribed on your Certificate of Membership exactly as written on your form, unless we are advised differently.
Certificates are issued first upon approval of entrance to the Society at the appropriate level. After that each year upon renewal a new seal is issued to place over the previous one.
CATEGORIES
Here we require you check if you are a new applicant to the Society, A Member renewing or a Member wishing to move to another category.
Please check which category you wish to be enrolled in.
EDUCATION
Under this section the requirement of the category are verified. PLEASE INSURE THAT THIS SECTION IS COMPLETED. Please note that Students, Associate and Full categories request further information under Institutional Information.
ACCIDENTAL DISABILITY DISCLAIMER
Any member may opt out of accidental disability insurance, as it is NOT MANDATORY.
INSTITUTIONAL INFORMATION
This section is for verification of training it is required to be filled out by new and transferring membership applications.
If your institution is accredited by the Council they shall be able to inform you. Accredited institutions usually provide information on graduates directly to the Society.
Individuals not from accredited training programs must provide as much information as possible regarding their training.
CONTINUED EDUCATION
The Society requires Members obtain a number of hours of continued education to maintain membership. This section is devoted to collecting that information. In the Quarterly Bulletins, a list of accredited seminars is listed. Please note those attended.
If you attended seminars not listed, please provide all information available and we shall submit it to the Education Committee for approval towards credits.
INSURANCE
The Malpractice and Liability Insurance of the Society is MANDATORY for Associate and Full Members. This section is to verify that you are carrying or have applied for the insurance. We remind Members that no funds are to be sent as the Insurer shall send a bill to the applicant. Insurance is payable by the 1st of September in each year, failure to pay by that date could result in cancellation.
- The policy provides:
- $1,000,000.00 Comprehensive Liability
- $1,000,000.00 Malpractice Liability
- $ 5,000.00 Equipment
- $ 25,000.00 Tenant Improvements & Legal Liability
DECLARATION
Rules of the Society and Code of Ethics
Before making application for membership, all applicants should read carefully the Rules, Aims and Objectives of the Society as set out in this handbook, with particular reference to the Code of Ethics of the Society, (Rule 3).
We remind applicants that once they have been provided entrance to the Society the Rules, Aims and Objectives of the Society are binding upon them.
Be sure you understand the requirements of membership. It will be your responsibility to know the Bylaws of the Society.
The Application form is in .pdf format and requires Adobe Acrobat Reader.