membership_amountExisting member? If you are an existing member, then please login to the website to renew your membership.Changing membership type? Your current membership is not Student. If you continue, your membership type will be changed.Membership FeeTotal (GST inclusive) Payment Method(Required) Credit card Send payment by electronic funds transfer (EFT) Your Name(Required) First Name Last Name Home detailsHome 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)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Employer Name(Required)Hours worked per week(Required)Please enter a number from 1 to 60.Languages SpokenDo you identify as First Nations?(Required) Yes No Include member details on the website?(Required) Yes No Initial Year of FCAQ Membership(Required)Select initial year202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991Course Name(Required)Registered Training Organisation(Required)RTO Phone Number(Required)Date course commenced(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Expected completion date(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student Financial Counsellor?(Required) Yes No Are you working as a Student Financial Counsellor?Agency Line Manager(Required)Employing Agency(Required)Date commenced in role(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Nominated Accredited Financial Counsellor(Required)Nominated Professional Supervisor(Required)Nominated Specialist SupervisorCredit 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
