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Part A - Personal Information

Username*

First Name*

Last Name*

Password*

Confirm Password*

E-mail Address*

Phone Number

Mobile Number*

Birth Date*

Residential Address

Address*

Suburb*

State*

Postcode*

Country*

Postal Address (If different to residential address. Do not include your work postal address here.)

Address

Suburb

State

Postcode

Country

Do you identify as Aboriginal or Torres Strait Islander?

YesNo

Do you speak a language other than English?

Membership

Trainee Associate

Currently studying the Diploma and employed as Trainee or Intern Financial Counsellors. You will need to provide Proof of Enrolment in the Diploma and your current CV with this application.

Associate

Currently working as a financial counsellor and have completed the Diploma in Financial Counselling. You are obliged to undertake 20 CPD points per annum and meet FCAN Supervision requirements. You will need to provide your Diploma Certificate and Transcript and your current CV with this application.

Rural financial counsellor

Currently working as a Rural Financial Counsellor

Affiliate - Industry

Currently working in the financial counselling industry in a related field. You will need to provide your current CV with this application.

Affiliate - Student

Currently studying the Diploma but not working as a trainee or intern financial counsellor. You will need to provide proof of enrolment in the Diploma and your current CV with this application.

Membership Category*

Upload Current CV

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Upload Proof of Enrolment

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Upload Diploma & Transcript

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Part B - Employment Information

Name of Current Employer

Your Position Title

Current Employment status as a Financial Counsellor

Work Phone Number

Work Email

Number of hours you work or volunteer each week as a Financial Counsellor on average?

Work Address

Agency Manager Name

Manager's Email

Which departments fund your position?

Please specify other:

Part C - Supervision

Supervisor's Name

Supervisor's FCAN Membership Number

Number of supervised sessions a month on average

Length of each session

Upload a declaration/verification from supervisor that they will provbide supervision according to the above

Upload

Workplace Supervisor/Mentor's name

Part D - Membership Eligibility

Are you employed by an organisation which is a credit provider or holds a credit licence?

YesNo

Are you employed by an organisation that charges fees to clients for financial counselling or debt advice?

YesNo

Have you ever been convicted of a criminal offence, or subject to regulartory action by a federal or state government body including ASIC or ACCC?

YesNo

If you have answered YES to any of the questions in Part D, you must provide further details to FCAN for the FCAN Board to take into account when reviewing your application.

Upload

Part E - Declaration

The information that has been provided on this form, and on any attachments to it, is complete and correct in every detail*

YesNo

I have accessed and read the FCAN Membership Policy and FCAN Supervision Policy*

YesNo

I understand that I am required to renew my membership annually on 1 July*

YesNo

I have read the Code of Ethical Practice for Financial Counsellors and Agree to uphold them*

YesNo

FCAN Communications

Email Address to receive newsletters and industry updates from FCAN*

I give permission for my name to appear on the FCAN member listing on FCAN's website in the Member Only Access section*

YesNo

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Trainee Associate

Associate

Rural financial counsellor

Affiliate - Industry

Affiliate - Student

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