Membership – NLTRA

New/Renewal *

New Member
Membership Renewal

NLTRA Membership # (If known)

Name *

First

Last

Street Address *

City *

Province/State *

Postal Code *

Email *

Phone Number *

Current Employer/Educational Institution *

Job Title/Program Title (Students) *

NCTRC Certification # (If applicable)

Region *

Eastern
Central
Western/Labrador
Other

Primary Service Setting

Primary Client Population

Please mark the appropriate Membership Category: *

Professional Member (CTRS) -$100 - Criteria: Individuals who have obtained the professional designation as a Certified Therapeutic Recreation Specialist (CTRS) by meeting the requirements set by the National Council for Therapeutic Recreation Certification (NCTRC).(All Membership Applications with CTRSdesignation must include a copy of your most recent NCTRC Membership Card or Certificate for processing).
Professional Member -$80 - Criteria: Individuals who are currently working, on leave, or educators in the therapeutic recreation field and have graduated with a diploma or degree in therapeutic recreation or related field from an accredited post-secondary institution.
Supporting Member -$60 - Criteria: Individuals who are interested in the field of therapeutic recreation and want to support NLTRA with their endeavors but do not meet the criteria for professional or student membership OR those who have retired from the field of therapeutic recreation and would like to continue their support in enhancing the profession.
Student Member -$30 - Criteria: Individuals who are currently pursuing a diploma/degree in therapeutic recreation or related field.

As a Member of the Newfoundland and Labrador Therapeutic Recreation Association (NLTRA), I have read and understood the NLTRA’s Code of Ethics and Standards of Practice and promise to abide and uphold these statements within my role as a Therapeutic Recreation Professional, Student, or Supporter. *

Yes

I agree that all information provided on this form is correct and I understand that it is my responsibility to inform NLTRA of any changes in the information that has been provided on this application form. *

Yes

Photo Release (Optional) I agree to permit NLTRA to take and produce photographs, films and any other audio/visual reproduction of myself for print, digital format, publication, or broadcast.

Yes

Confidentiality Release (Optional) I agree that NLTRA may release my name, work/home address or CTRS designation to individuals and/or organizations for educational and research purposes.

Yes

Comments or Questions

Please send an email money transfer to nltra.treasurer@gmail.com for membership fee payment. *

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