Professional membership request

Professional membership request
For more information on the different types of memberships, please refer to this document on the Intranet.

Please note: If you are renewing a membership, you will need to attach a completed Professional Membership Renewal Report.

There is also a guide for discussing your membership request with your manager.
Name*

First NameLast Name
Are you:*

CWAAPLEExempt
Is this membership for:*

ALAOLCOther
Did you discuss this membership with your management team leader?*

YesNo
ACTION REQUIRED:

Please discuss this membership request with your management team leader prior to submitting this form.

Professional membership request
Name*

First NameLast Name
Email*
example@example.com
Branch/Department*
Supervisor/Manager Email*
example@example.com
Name of Membership*
Is this a renewal?
Before submitting the request for renewal, please complete the Professional Membership Renewal Report. It should be shared with your immediate supervisor and appropriate administrator. Keep a copy for yourself and upload a copy below.
Please upload the Professional Membership Renewal Report.

Cancelof

Professional membership request
Is this membership associated with:*

Strategic PlanPublic ServiceOperations/Non-Public Service
Does this membership enhance your professional performance or a function of your professional position?*
How does this membership directly impact/ enhance your work performance? *
How do you intend to share what you have learned with other staff members? *
Have you explored other memberships with similar benefits and features before committing to a specific membership *
Will you be actively participating in any committees, boards, or work groups within the organization? *
Sometimes a membership includes a subscription to a periodical, access to a database, or provides discounts to events/ programs from the organization. Are there any tangible benefits from this membership? *
Please list any benefits.

Professional membership request
Does this membership efficiently manage staff resources and spending/budgeted items?
Cost*
In dollars
Are there additional costs not included in the membership fee?*
Additional costs
Dollar amount needed
Please explain the reason(s) for additional costs.
Examples: parking fees, entry fees, meals
Renewal Period*

MonthlyAnnuallyOther
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Time commitment for staff would be enter a number* HOURS
PER * .
Are any other time commitments required by this membership? *
Please explain any additional time commitments.
Is your manager aware of the time commitments?*
Please attach any forms needed to join/renew.*

Cancelof
Should be Empty:

Ethics acknowledgement