Application for Membership - Page 1 of 2

Welcome to the online membership application
Fields with red asterisk (*) are mandatory.

 

Please select a Member Type: *

Member *

On the date of application, the individual shall be employed in public relations or teach or administer a public relations course, or possess a diploma, certificate or degree in public relations.

Affiliate *

On the date of application, the individual has been employed full time less than two years in public relations. After two years of membership at the Affiliate level, the member would be required to renew as a full member.

Associate *

On the date of application, the individual is not employed full time in public relations, or is employed in functions partially related to public relations.

Individual Member *

The applicant must live and work outside specific geographical areas and must meet the eligibility requirements as for Member.

Note: As a result of the Federal Privacy Legislation (Bill C6), you are not obligated to provide us with your birthdate or home address.

ELIGIBILITY *


Name of Member Society:   *


First Name:* Last Name:*


Organization/Employer:


Department:


Position/Title:


Business Address:*


City: *  Province: * 


Postal Code(no space): *  Country:


Email: *


Phone: * ex. 999-999-9999 Fax:

Nature of organization’s business or activity: *














Date of birth (DD/MM/YY)   Language of Society Mailings:


Home Address


City:  Province:  Postal Code: 


Email:
Phone: Fax:
Address to be used for Society mailings and Directory listing:   
I have been referred by:

Have you ever been accepted for membership in CPRS before?   


Member Society From To: