Membership Application

  • Students Only

  • Date Format: MM slash DD slash YYYY
  • Completed Child and Youth Care Diploma or Degree Only

  • Date Format: MM slash DD slash YYYY
  • Post-Secondary Education other than CYC

  • Date Format: MM slash DD slash YYYY
  • Current Employer

  • Type of Membership

  • $ 0.00 CAD

Full Membership – Must demonstrate at lease one of the following:  Working as a CYC, CYC Administrator, CYC Supervisor, CYC Instructor / Trainer, individual holding a CYC diploma or degree, full or intermediate certification.

Student Membership – An individual enrolled in a post secondary CYC program.
This membership is a one-time fee and is valid for the entire duration of the diploma / degree program.  All students receive one free year of membership following graduation.

Out of Province Membership – An individual who does not reside in the province of Alberta, must prove membership in home province CYC Assocation, if applicable.

Agency – Programs that work with children, youth and / or families; able to post workshop / employment information on web site.

Leave – A full or associate member who is currently one of the following: on a leave of absence, maternity / paternity, unemployed, retired, or changed careers.  This membership is available for up to 5 consecutive years.  If the members’ status remains unchanged after this time, s/he must contact the association.

Educational Member – An individual who does not fit the criteria for full membership, but is interested in taking the online modules.

Personal Information Protection

The information requested in this form is collected under the Personal Information Protection Act for Child and Youth Care Association of Alberta internal use only.  No information contained in this form will be disclosed to any other individual, group, or agency as per the Confidentiality Policy of the Child and Youth Care Association of Alberta.  Questions concerning this collection should be directed to