AAFCP Active Member Application

Active Member

* must be filled in.

*Name
(First Initial Last) As you would prefer it to appear officially.
*Address
*City
*State / Prov
*Country
*Zip / Postal Code
*Home Phone:
*Office Phone:
*Mobile Phone:
*Fax:
*Email:
*Confirm Email:
*NFP Education Program:
*Address:
*Completion Date:
*Indicate Academy Certification Level:

CFCP

CFCS

CFCE

CNFPMC

CFCMC
*Certification Completion Date:
CODE OF ETHICS:

I have read and agree to accept and adhere to the principles and standards of conduct defined in the Code of Ethics of the American Academy of FertilityCare Professionals.
   
MEMBERSHIP DUES:

Annual dues for Active membership are $100.00 and may be paid quarterly. A minimum of $25.00 must be submitted with the Application for Active Membership.

August first is the annual renewal date for all membership dues. The first year’s dues will be pro-rated for the year depending on the date of Board of Directors approval.

If the application is withdrawn, or if Active membership is not granted, $25.00 will be retained as an application fee.

Membership Referral
I was encouraged to seek Academy membership by:

 

Applications for Active membership undergo the following process:

1. Application forms are processed by the Membership Committee to ensure all required information is provided and the applicant is qualified for this category of membership.

2. The Membership Committee submits the names of potential new Active members to the current active membership soliciting their comments.

3. If positive comments are received from the Active membership, the applicant is presented to the Board of Directors for approval at their next board meeting. If comments received raise questions about an applicant’s adherence to the Code of Ethics or standards of teaching, it is the responsibility of the Membership Committee to investigate the allegations prior to presenting the applicant to the Board of Directors for approval of membership. Persons denied Active membership may appeal this decision by direct application to the Board of Directors.
 
* Once you have completed the above information, please click submit. You will be contacted by the AAFCP Board of Directors.