"Application for Membership - the Army Cadet League of Canada" - Canada

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THE ARMY CADET LEAGUE OF CANADA
APPLICATION FOR MEMBERSHIP
This Application for Membership is required for any individual joining the Army Cadet League of Canada. An
applicant working at the National or Provincial/Territorial level should only complete Section “A”. Applicants who
expect to work at a Cadet Corps must complete Sections “A”, “B” and “C” of the application and provide the CPIC
required in Section “B”. Once completed the application is considered CONFIDENTIAL and is forwarded to the
Provincial Branch Membership Officer for handling.
This process is designed to protect the youth enrolled in the Royal Canadian Army Cadets and your willingness and
co-operation in completing this process is greatly appreciated. It is the goal of The Army Cadet League of Canada
to become a model for youth Leadership across Canada. Thank you for interest in this unique youth program.
I hereby apply for Membership in the Army Cadet League of Canada in the province/territory of:
ALBERTA
_______________________________________________________ .
My position with the League will entail one of the following (Insert initials in one category below):
1.
as a National or provincial/territorial member with no direct and regular contact with youth.
2.
as a Regular contact with youth at a Corps: ___________________________________________
enter Corps Name/Number
Section A.
(Executive/Administrative member – No direct contact with youth)
Surname__________________________________ First Name: ___________________________ Initials:________
Address:_______________________________________City/Town:________________________ Prov: ________
Postal Code:_________________ Telephone(B)_____________________Telephone(R)_____________________
Fax_______________________ Email: ____________________________
Section B.
( contact with youth)
I hereby declare that I do not have a criminal record for an offence which has not been pardoned nor has my name been
registered with a Provincial Child Abuse Registry. I agree, if deemed necessary by the Army Cadet League of Canada,
that security checks may be obtained from the RCMP or local Police and the Provincial Child Abuse Registry to confirm
this declaration and that acceptance of my application may rely on these security checks. I agree to provide the
appropriate agencies with all required documentation necessary to complete the background checks required for the type
of exposure to youth (above) that I have applied for, and I herewith:
• authorize the Provincial Child Abuse Registry to provide any findings to the Army Cadet League of Canada; and
will provide the Army Cadet League of Canada with CPIC check results.
I understand that all reports become the property of the Army Cadet League of Canada and shall remain confidential and
that fees for these background checks are my sole responsibility.
The information contained in this application is correct to the best of my knowledge.
Signed this ___________ day of _______________________, _________, at _____________________,___________.
Witness:_____________________________________
Applicant: _____________________________________
THE ARMY CADET LEAGUE OF CANADA
APPLICATION FOR MEMBERSHIP
This Application for Membership is required for any individual joining the Army Cadet League of Canada. An
applicant working at the National or Provincial/Territorial level should only complete Section “A”. Applicants who
expect to work at a Cadet Corps must complete Sections “A”, “B” and “C” of the application and provide the CPIC
required in Section “B”. Once completed the application is considered CONFIDENTIAL and is forwarded to the
Provincial Branch Membership Officer for handling.
This process is designed to protect the youth enrolled in the Royal Canadian Army Cadets and your willingness and
co-operation in completing this process is greatly appreciated. It is the goal of The Army Cadet League of Canada
to become a model for youth Leadership across Canada. Thank you for interest in this unique youth program.
I hereby apply for Membership in the Army Cadet League of Canada in the province/territory of:
ALBERTA
_______________________________________________________ .
My position with the League will entail one of the following (Insert initials in one category below):
1.
as a National or provincial/territorial member with no direct and regular contact with youth.
2.
as a Regular contact with youth at a Corps: ___________________________________________
enter Corps Name/Number
Section A.
(Executive/Administrative member – No direct contact with youth)
Surname__________________________________ First Name: ___________________________ Initials:________
Address:_______________________________________City/Town:________________________ Prov: ________
Postal Code:_________________ Telephone(B)_____________________Telephone(R)_____________________
Fax_______________________ Email: ____________________________
Section B.
( contact with youth)
I hereby declare that I do not have a criminal record for an offence which has not been pardoned nor has my name been
registered with a Provincial Child Abuse Registry. I agree, if deemed necessary by the Army Cadet League of Canada,
that security checks may be obtained from the RCMP or local Police and the Provincial Child Abuse Registry to confirm
this declaration and that acceptance of my application may rely on these security checks. I agree to provide the
appropriate agencies with all required documentation necessary to complete the background checks required for the type
of exposure to youth (above) that I have applied for, and I herewith:
• authorize the Provincial Child Abuse Registry to provide any findings to the Army Cadet League of Canada; and
will provide the Army Cadet League of Canada with CPIC check results.
I understand that all reports become the property of the Army Cadet League of Canada and shall remain confidential and
that fees for these background checks are my sole responsibility.
The information contained in this application is correct to the best of my knowledge.
Signed this ___________ day of _______________________, _________, at _____________________,___________.
Witness:_____________________________________
Applicant: _____________________________________
Section C.
**** ATTACH A CV / RESUMÉ OR COMPLETE THE FOLLOWING INFORMATION ****
1. Other Volunteer Service (Give name of organization or club): ______________________________________
2. Date of Birth:
_________________________________
3. Any Previous Cadet Experience:
Land
Sea
Air
Unit: _____________________________Location:___________________________________________________
Length of Service: From_______________________________ To _____________________________________
Highest Rank Attained:___________________ Reason for Leaving Cadets:______________________________
4. List the activities or functions you intend to pursue with the Army Cadet League:
_________________________________________________________________________________________
_________________________________________________________________________________________
5. References: List the names, addresses and telephone numbers of 3 references known by you for five years.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Section D.
(Membership Officer’s use only)
Determination of Screening Requirement
Based on the information contained in the Membership Application form, the results of the reference checks, and
the degree of direct and regular contact with cadets, it has been decided that the applicant (circle one)
does / does not
require further screening.
_______________________________
________________
(Signature - Membership Officer)
(Date)
Membership Approval
Circle one: Membership is:
approved
/
not approved
by the Membership Officer for ______________________________ Branch.
___________________________________
___________________________________ ______________
Print Name
Signature
Date
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