QFCC Member Application Form
Name of applicant:
Category of membership being applied for:
Brief summary of how you satisfy the eligibility criteria:
Is a copy of your Constitution or Guidelines attached? (Not required for Associate Member applicants)
Do you agree to abide by the QFCC Vision Statement, Mission Statement and Code of Conduct?
Is there any additional material you wish to provide? Please summarise below or attach to form. Tell us briefly about your organisation and what you hope to gain from QFCC membership. Please include what you feel you can bring to the QFCC to enhance its Vision and Mission. Please attach.
Name of representative:
Position in body (if applicable):
Signature of representative: ___________________________________________________
Contact details of Applicant:
Address:
Email:
Telephone:
Website: (if applicable)
Date of application: Click here to enter a date.

For office use only:
Date received: …………/…........./…………
Received by: ________________________________________________________________ Signature: __________________________________________________________________