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BCTRA Membership Application
Please
ENSURE
that you have reviewed
the
membership criteria
BEFORE applying.
Complete all the fields below that apply to you:
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Personal Information
First Name:
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Last Name:
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Address:
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Province:
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Phone:
Account information
E-mail:
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Coursework
Core TR Course 1:
Core TR Course 2 :
Core TR Course 3:
General Recreation Course 1:
General Recreation Course 2:
General Recreation Course 3:
Supportive Course 1:
Supportive Course 2:
Supportive Course 3:
Supportive Course 4:
Supportive Course 5:
Supportive Course 6:
Student Information - for student applicants only
Student Number:
You MUST be a FULL TIME student to apply for membership in the BCTRA.
Student Institution:
Expected Graduation Date:
Certification
CTRS Number:
All CTRS certified members please provide your number here
Education - List ALL completed and / or current post secondary education
Diploma:
Diploma Institution:
Diploma Graduation Year:
Degree:
Degree Institution:
Degree Graduation Year:
Masters:
Masters Institution:
Masters Graduation Year:
PhD:
PhD Institution:
PhD Graduation Year:
Practice Areas - check all that apply
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Educator
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