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Areas of Expertise

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Monthly

Semi-Annual

Quarterly

Lifetime

2 Years

3 Years

4 Years

5 Years

City

Country

Postal Code

Province

Street Address

Apartment/Unit/Suit

contact.languageId

First language

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Second language

contact.other.contactSCAffiliationId

SC Affiliation

contact.other.contactVolunteerCadetCorpsNum

Corps Number

contact.other.contactBranchAffiliationId

Branch Affiliation

contact.occupationId

Profession

contact.other.FavProvId

Dues Paid To

Additional Info

Contact Information

contact.firstName

First Name

other.contactMiddleName

Middle Name

contact.lastName

Last Name

Ext:

contact.mobilePhone

Phone Number.

contact.email

Email

Individual

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Women are members of a designated group under the Employment Equity Act.

contact.gender

Male

Female

Unspecified

Gender

An Aboriginal person is a North American Indian or a member of a First Nation, Métis, or Inuit. North American Indians or members of a First Nation include status, treaty or registered Indians, as well as non-status and non-registered Indians.
Are you an Aboriginal person?

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Aboriginal Peoples

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Inuit

Métis

North- American Indian/First Nation

Optional: If you wish to provide further details, please specify the group to which you belong.

A person in a visible minority group in Canada is someone (other than an Aboriginal person as defined above) who is non-Caucasian in race or non-white in colour, regardless of place of birth.
Are you a member of a visible minority group?

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Visible Minority

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Black

Chinese

Filipino

Japanese

Korean

Non-White Latin American (including: indigenous persons from Central and South America, etc.)

Non-White West Asian, North African or Arab (including: Egyptian; Libyan; Lebanese; Iranian; etc.)

Other Visible Minority Groups

Person of Mixed Origin (with one parent in one of the visible minority groups)

South Asian/East Indian (including: Indian from India; Bangladeshi; Pakistani; East Indian from Guyana, Trinidad, East Africa; etc.)

Southeast Asian (including: Burmese; Cambodian; Laotian; Thai; Vietnamese; etc.)

Optional: If you wish to provide further details, please select the box(es) that best describes your origin.

A person with a disability has a long-term or recurring physical, mental, sensory, psychiatric or learning impairment, and
1. considers himself/herself to be disadvantaged in employment by reason of that impairment, or,
2. believes that an employer or potential employer is likely to consider him/her to be disadvantaged in employment by reason of that impairment, and includes persons whose functional limitations owing to their impairment have been accommodated in their current job or workplace.
Are you a person with a disability?

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Person with a disability

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Blind or Visual impairment (unable to see or difficulty seeing)

Co-ordination or dexterity (difficulty using hands or arms, for example, grasping or handling a stapler or using a keyboard)

Deaf or hard of hearing (unable to hear or difficulty hearing)

Mobility (difficulty moving around, for example, from one office to another or up and down stairs)

Other Disability (including: learning disabilities, developmental disabilities and all other types of disabilities)

Speech impairment (unable to speak or difficulty speaking and being understood)

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I have read and understood the Resolution regarding membership of the ACLC.

Self-declaration Survey (OPTIONAL)

email

mobilePhone

Phone Number

address.country

address.city

address.province

address.postalCode

address.street

address.unit

Unit

Membership Plans

Ordinary Member

Associate Member

AB Ordinary Member 

AB Associate Member 

AB Life Membership 

BC Associate Member

BC Ordinary Membership

BC Life Membership

MB Ordinary Membership

MB Associate Membership

MB Life Membership

NB Ordinary Membership

NB Associate Plan

NB Life Membership

NL Ordinary Membership

NL Associate Membership

NL Life Membership

NS Ordinary Membership

NS Associate Membership

NS Life Membership

ON Ordinary Membership

ON Associate Membership

ON Life Membership

NU/NWT/YK Ordinary Membership

NU/NWT/YK Associate Membership

NU/NWT/YK Life Membership

PEI Ordinary Membership

PEI Associate Membership

PEI Life Membership

QC Ordinary Membership

QC Associate Membership

QC Life Membership

SK Ordinary Membership

SK Associate Membership

SK Life Membership

NTL Ordinary Membership

NTL Associate Membership

NTL Life Membership