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JOIN VRA CANADA
 
Please note: this form is for a new membership only. If you are already a member and want to renew your membership please log into the members section.
* Mr.   Mrs.   Ms.
Name:
  * First Middle * Last
* How did you hear about VRA Canada?
Colleague:
Advertisment:
Conference:
Web Search:
Other:    Please Specify: 
* Job Title:  * Business Name: 
PLEASE Complete all areas.
* Primary Contact:  Residence Address  Business Address
* Address:
Apt./Suite:
* City/Town:
* Province:
* Postal Code:
* Telephone:
Fax:
* E-mail:
Academic Achievements
Indicate the two highest degrees that you have obtained in your academic history:
* Discipline:  
Certificate:
Bachelor:
Diploma:
Master's:
Doctorate:
* Areas of Specialization
Please only select two (2)
Case Manager/Rehabilitation Service Coordinator:
Community Support Specialist:
Disability Manager/Consultant:
Educator/Instructor:
Employment Specialist:
Forensic Assessor (Life Care Planner, Cost of Care Consultants, Future Cost Specialist):
Psychosocial Rehabilitation Specialty:
Vocational Counsellor / Consultant:
Rehabilitation Counsellor:
Vocational Evaluator:
Other:
Please Specify:  
* Membership Categories
Please check one
Membership Type Full Year
Membership Fee		 Current Membership Amount
 Associate $275.00 $206.25
 Student $35.00 $35.00
 New Graduate $200.00 $200.00
 Retired $137.50 $103.15
Please note: If you have a CCRC, CRC, or CVE designation, you are eligible to become a professional member.
Please contact the VRA office toll free at 1-888-876-9992 for details.
Full time students: official timetable required
Optional Fees
"Members Only" Website Directory
I consent to having my name and mailing address listed in the "members only" section of the VRA Canada website 		No Charge
External Database
I consent to having my business information listed on VRA Canada ’s Website for non members seeking the services of a rehabilitation specialist. Please submit your business contact information and a 50–75 word summary of the services you provide to: info@vracanada.com. 		No Charge
Canadian Assessment, Vocational Evaluation and Work Adjustment Society
The Canadian Assessment, Vocational Evaluation and Work Adjustment Society (CAVEWAS) is a national society of VRA Canada, dedicated to identifying and promoting issues relevant to vocational evaluation and career preparation/placement services. The annual membership fee is $50.00. 		$50.00
*you will not be charged as this step
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