Membership Application

: JULY 1 2023 - JUNE 30 2024
Personal details
Your name:: First Name:
Last Name:
Are you in SA or NT?:
Work phone number:
Personal phone number:
Work email address:
Personal email address:
Work Address:: Line 1:
Line 2:
City:
Country:
Australia
State:
Postal Code:
Home Address:: Line 1:
Line 2:
City:
Country:
Australia
State:
Postal Code:
Do you identify as Aboriginal or Torres Strait Islander?:
Agency details
What is your employment status?:
What is your job title:
How many hours do you work each week?:
What is the name of your training organisation?:
Other Option
What SA organisation do you work or volunteer for?:
Other Option
What NT organisation do you work or volunteer for?:
Other Option
Application details
What is your membership status?:
Type of membership are you applying for:
Please upload a certified copy of your diploma (your line manager can provide certification)
Please upload a copy of your letter of support signed by your employer
Do you have a Professional Supervisor or supervisors?:
Please list the names of all of your Professional Supervisors:
Have you been convicted of a criminal offence or subject to regulatory action by a federal or state govt. body including ASIC or ACCC? If 'Yes' email a copy of your national police clearance to work document to admin@safca.org.au:
Declaration:: Confirm
I declare the above information to be true and accurate
: SAFCA will forward your name and email address to Financial Counselling Australia for the purposes of the Tool Kit website, distribution of newsletters, conference information, surveys and other occasional uses as approved by SAFCA.
: SAFCA commits to the Australian Privacy Principles and will not share your information or email you without your consent.
Your name and work details will appear on membership listings.
: Members cannot work for an organisation that charges fees for budgeting, financial counselling or debt management
: In making this application for membership of the Association, I confirm I have met (or will meet) all PD and Supervision Requirements, appropriate to my membership status, and I acknowledge and agree to the following:
: 1. I understand that the Association has agreed to the Financial Counselling of Australia Disciplinary Process – Policy and Procedures and that these govern how the Association assesses, handles and responds to complaints about Members. Accordingly, I am bound by the Disciplinary Process – Policy and Procedures.
: 2. Where a complaint is made about me, I consent to the Association and any investigator appointed by the Association:
: a. asking my employer, former employer, a client or former client, a co-worker or anyone else for relevant information and to the extent necessary to do so disclosing information to them about the complaint about me; and
: b. obtaining any of my personal information from my employer, a former employer, a client or former client, a co-worker or anyone else, in each case to the extent that the personal information appears to be relevant to the matters the subject of the complaint.
: 3. I confirm that this Membership Application may be provided to anybody by way of evidence that I have consented to the Association asking for and obtaining information about me for the purposes of handling a complaint about me.
: 4. I acknowledge that if my membership of the Association is suspended or terminated, the Association may through Financial Counselling Australia make that information available to the financial counselling association in other States and Territories of Australia
: 5. I agree to abide by the National Standards for Membership and Accreditation and the Code of Ethical Practice, and comply with the Constitution, policies and procedures of SAFCA.
I acknowledge and agree with above:: Yes
Date of Acknowledgement:

Membership Application

JULY 1 2023 - JUNE 30 2024

In making this application for membership of the Association, I confirm I have met (or will meet) all PD and Supervision Requirements, appropriate to my membership status, and I acknowledge and agree to the following:

SAFCA

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