PCT Scotland

MEMBERSHIP RENEWAL

 
NAME : _______________________________________________
ADDRESS : _______________________________________________
POST CODE : _______________________________________________
TELEPHONE : _______________________________________________
EMAIL : _______________________________________________
WEBSITE : _______________________________________________
If you do not wish your contact details to be shared with other members of PCT Scotland, other than the Secretary and Website Administrator, please tick here [  ] (1)

Please circle and complete where applicable:

I wish to renew my / apply for : Full / Associate / Affiliate / Student membership of PCT Scotland (2)

I am a member of BACP / COSCA / BPS / UKCP / AHPP or __________________ (3)

My membership ID number(s) of the above is/are ___________________________ (4)

I enclose a Cheque / have arranged a Standing Order for my membership fee of:

£40.00 (Full) / £40.00 (Associate) / £24.00 (Affiliate) / £12.00 (Student). (5)

I have included a contribution of £____________ to the Access Fund. (6)

I require / do not require a receipt for the above payment(s).

 

I have read the Information Sheet and Membership Criteria and confirm that I understand the conditions of membership and meet all the requirements of the category for which I am renewing/applying. Further, I consent to my personal details being held in the manner outlined in PCT Scotland's Data Protection Policy. (7)

 

Signed .................................................                    Date .........................

 

 
This paper record will be stored in a secure place by the Secretary for one full year beyond the end of this membership year and will then be shredded.

 

 

MEMBERSHIP RENEWAL

INFORMATION SHEET

  1. PCT Scotland will use your contact details for the purposes of administering your membership and also to provide you with information that fits with the purposes of PCT Scotland, as outlined in the constitution. This data will be stored online in the 'Directory of Members' which is located in the members-only section of the PCT Scotland website. Access to this section of the website is protected by security measures which are regularly reviewed by PCT Scotland’s website group. This data can be viewed by other members of PCT Scotland who may use these details to contact you, provided that the reason for contact fits with the purposes of PCT Scotland, as outlined in the constitution. PCT Scotland will not provide this information to any other party without first obtaining your specific consent.

  2. If you are applying for FULL membership for the first time, please include a signed declaration that you have completed at least 3 years and 450 hours of supervised practice in the person centred approach.

    If you are applying for FULL, ASSOCIATE or AFFILIATE membership for the first time, please include a copy of your person centred diploma.

  3. PCT Scotland has no official complaints procedure. It is therefore a condition of membership that you are a current individual member of an organisation which does have an official complaints procedure such as BACP, COSCA, BPS, UKCP, and AHPP.

  4. Your Membership ID number(s) will be held by PCT Scotland as evidence that you meet the above membership criteria. This data will be stored online in the 'Directory of Members' which is located in the members-only section of the PCT Scotland website. This data can only be viewed by the Secretary and Website Administrator.

  5. If paying by Cheque, please make payable to "PCT Scotland".

    If paying by Standing Order, please arrange payment to:

    The Association for Person Centred Therapy Scotland
    Co-operative Bank, Skelmersdale Branch
    Sort Code: 08-92-99, Account Number: 65375796
    Please organise the payment to start immediately and thereafter to be paid annually from the 1st June of the following year.
    Please use your full name as a payment reference.
    Note: Contributions to the Access Fund will need a separate payment by Cheque as above.

  6. The Access Fund is made up of voluntary contributions from members to support those who find it difficult to fully participate in the organisation because of their personal situation.

  7. It is a condition of membership of PCT Scotland that you use the data shared in the Directory of Members to contact other members only for reasons that fit with the purposes of PCT Scotland, as outlined in the constitution, and will not give this data to any third party without first obtaining the specific consent of the individual member.

By signing the renewal form you agree to abide by PCT Scotland's Constitution, and consent to your personal details being held in the manner outlined in PCT Scotland's Data Protection Policy.

After you have signed and dated the form, please return it along with your payment and any supporting documentation to :
"The Secretary", PCT Scotland, 13 Bradan Drive, Ayr KA7 4TQ.

Once the secretary has processed your renewal payment, your subscription status will be updated. If you have any queries regarding your renewal, please contact the secretary on 0870 765 0871 or email secretary@pctscotland.co.uk