Registration

Are you a genetic counsellor? Do you work or study in the genetic counselling field? Become a QAGC member today!

Membership Application 2017

Name:

Present Position(s):





Certification(s) (if yes, indicate the year):

Addresses(es):

Phone number(s):

Fax:

Email:


Application type:
New applicationMembership renewal

Membership category:
Full member ($30)Associate member ($15)Student member ($10)


*The chosen membership category will be reviewed by the QAGC board.

*A receipt will be mailed to you upon receipt of your payment.

FULL MEMBERS must (i) hold a Master's degree in genetic counselling from a recognized training program of (ii) hold a diploma in an associated field and be certified by the CAGC (or ABMG, AMGC) or eligible to certification by the CAGC. Full members in good standing may attend all meetings of members, vote, be a member of a committee and serve on the Board.

ASSOCIATE MEMBERS may include (i) other health care professionals or physicians whose interests focus on genetic counselling and (ii) other applicant who are not eligible for full membership. Associate members can be members of a committee but cannot vote or serve on the Board.

STUDENT MEMBERS are those enrolled in a recognized genetic counselling program. Student members have the same privileges as associate members. (From QAGC by-laws adopted April 2011).


*Fill in the following information only if there have been changes since your last application.

Educational background:





Relevant work experience:





Once you have submitted your information, you can either pay your membership fee by using the PayPal button below, or by sending a cheque to our Treasurer (address below).


Fees




QAGC Treasurer:

Julia Barone, MSc, CGC, CCGC

CHU Sainte-Justine
3175 Côte-Sainte-Catherine
Montréal (Qc)
H3T 1C5