Get Involved Be Consulted Be A Member Be A Supporter Contribute Be An Engaged Researcher Specific Opportunities Home» Get Involved» Be A Member» Member Application» Individual Membership Application Please complete and submit the following membership application. Approved applicants will receive an invoice for payment of membership fees. Name *Address *Town/City *Province *Postal Code *Telephone *E-mail Address *Age (Must be 18 years of age or older) *Please select an option18 - 2526 - 4041 - 5556 - 7071 and overHighest level of education completed *Please select an optionelementary schoolsecondary schooluniversity or collegepost graduateOccupation *Which of the following activities have you been involved in within your community? Education (PTA, Alumni Association, etc.) *CurrentPastNo involvementProfessional Association *CurrentPastNo involvementAdvocacy (eg. environment, health, consumer, etc.) *CurrentPastNo involvementCommunity (eg United Way, Rotary, coaching, etc.) *CurrentPastNo involvementSpecial Interest (eg homelessness, violence, seniors, etc.) *CurrentPastNo involvementOther activities (please specify)How familiar are you with the following consumer issues? Energy (prices, conservation, etc.) *Very AwareAwareUnawareFood Safety (labelling, genetically modified foods, etc.) *Very AwareAwareUnawareHealthcare (medical practice, drugs, service, etc.) *Very AwareAwareUnawareFraud and scams *Very AwareAwareUnawareFinancial Services (banking, credit, investing, etc.) *Very AwareAwareUnawarePrivacy (data security, etc.) *Very AwareAwareUnawarePrevious ActivismHave you ever taken any of the following actions? *Written a letter to the editorContacted an elected official on a matter of concernFiled a complaint with a company or ombudsmanAttended a community information meetingOther advocacy action (please specify)Have you ever been a member of a consumer organization? *YesNoIf you have ever been a member of a consumer organization, please name the organization and the role you playedYour Interest in MembershipAs an individual member of the Council, what would you expect from the Council?The Council is often asked to recommend individuals as consumer representatives on committees, boards and councils. Would you be interested in volunteering in this manner? *YesNoTell me moreWould you be interested in being a member of a council committee? *YesNoTell me moreWould you like to receive e-mail notification of Council activities? *YesNoConsumers Council of Canada Member Commitment Statement As a member of the Consumers Council of Canada, I acknowledge that I support the Eight International Consumer Rights of Basic Needs, Safety, Information, Choice, Representation, Redress, Consumer Education and a Healthy Environment. I furthermore acknowledge the support of the Consumer's Right to Privacy. All applications are reviewed by the Council's Board of Directors. Membership approval is at the sole discretion of the Consumers Council of Canada Board of Directors. SUBMITPlease do not fill in this field.
