Membership Form for Affiliate - Members Portal - Financial Counselling Queensland

membership_amount

Existing member?

Your current membership is not Affiliate. If you continue, your membership type will be changed.

Total (GST inclusive)

Payment Method(Required)

Credit card

Send payment by electronic funds transfer (EFT)

Your Name(Required)

First Name Last Name

Home Email(Required)

Home Mobile(Required)

Work Email(Required)

Work Phone(Required)

Home Address(Required)

Street Address Address Line 2 City / Suburb State / Territory Post Code

Work Address(Required)

Street Address Address Line 2 City / Suburb State / Territory Post Code

Postal Address(Required)

Street Address Address Line 2 City / Suburb State / Territory Post Code

Date of Birth(Required)

Employer Name(Required)

Hours worked per week(Required)

Please enter a number from 1 to 60.

Languages Spoken

Do you identify as First Nations?(Required)

Yes

Is your membership part of an Agency Affiliate Membership?(Required)

Yes

Include member details on the website?(Required)

Yes

Initial Year of FCAQ Membership(Required)

Credit Card Payment(Required)

In completing this Application/Renewal for membership I confirm that:

The information that has been provided on this form, and the attachments to it, is complete and correct in every detail
I have read the FCQ Membership Policy FCQ Membership Policy and confirm that I meet the policy requirements of the membership category for which I am applying
I understand that I am required to renew my membership by 31 December each year
I have read the Code of Ethical Practice for Financial Counsellors and agree to uphold them Code of Ethical Practice for Financial Counsellors
I have read the FCQ Rules of Association and agree to be bound by the conditions of the Rules of Association FCQ Rules of Association
I understand that the Association has agreed to the national standard Disciplinary Process: Policy and Procedures and that these govern how the Association assesses, handles and responds to complaints about members. Accordingly, members are bound by the Disciplinary Process – Policy and Procedures.

Where a complaint is made about a member, the member consents to the Association and any investigator appointed by the Association:

asking the employer, former employer, client or former client, co-worker or anyone else for relevant information and to the extent necessary to do so disclosing information about the complaint; and
obtaining any personal information from the employer, former employer, client or former client, co-worker or anyone else, in each case to the extent that the personal information appears to be relevant to the complaint.

I understand this membership application may be provided to anyone by way of evidence that I have consented to the Association, asking for and obtaining information for the purposes of handing a complaint about me.
I am aware that I must advise FCQ immediately of a change in circumstances relating to any information I provide with this application
I have no objection to any relevant person(s) being contacted to assist in determining my eligibility for membership
I understand that this application and my FCQ membership number and certificate will not be processed until all relevant parts of this form are complete, all additional information is provided and payment has been processed
If membership of the Association is suspended or terminated the Association may through Financial Counselling Australia make that information available to the financial counselling associations in other states and territories of Australia.

Membership Form Declaration(Required)

I have read and and accept the Membership Form Declaration