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.:. MEMBERSHIP RENEWAL OR RESIGNATION

Your Name:      *  required

Email address:      *

Membership Intention:      *

If you have chosen to resign from the AAHTC please continue to the end of last page and submit this form.

If you have chosen to renew your membership and wish to avoid automatic reclassification to Non-Practicing membership for the next membership year you MUST complete the remainder of the form before submission. If you are aware that you have not met the PD and Supervision targets in the last 12 months you can leave the PD and Supervision sections blank.

If you are renewing your membership please do not complete until you have been advised by email of your renewal fee.

.:. ONGOING PROFESSIONAL DEVELOPMENT

In this membership year you need to have accumulated a minimum of 20 points Professional Development based on the points scale contained in the AAHTC Log Book...click here.

In the space provided, please list the professional development events you are claiming to have attended that together achieve the 20 points requirement. Please use the general form....when; what; hours attended; points claimed
e.g. March 2010, AAHTC Masterclass, 5 hrs, 10 pts.
      July-Sept., Meditation group; 12 hrs, 12 pts.


Total Pts.  


.:. PROFESSIONAL SUPERVISION

To retain either Professional or Qualified membership, you must be undergoing professional supervision and have accumulated a minimum of 5 hours supervision in this membership year.

If you have not received the minimum 5 hours supervision your membership will drop down into the Non-Practicing category. Contact the Membership Secretary if you believe there are special circumstances that should be taken into account.

I declare that in the previous 12 months I have fulfilled the AAHTC requirement for Professional Supervision      *

Please provide the name, if possible email address, and contact phone number of your Professional Supervisor in the space provided. Or list the AAHTC supervision workshop you attended.


When you submit the form you will be redirected to a payment page where you can make a secure credit card payment if you have chosen to renew your membership. Numerous discounts are available for credit card payments. If you are not paying by credit card you must pay the full cost applicable for your level of membership.

Graduating

Qualified

Professional

Clinical

$68.75

$75.00

$100.00

$125.00



   


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