<a href="http://www.macromedia.com/go/getflashplayer">Flash Required</a>
Flash Required
Membership
APASK Membership is available only to those professionally employed in the fields of Alcoholism, Gambling and Other Drug Dependencies.

Full Voting Member: for those professionally employed in the field of addictions and

Associate Membership: (non Voting) Supporter of APASK not an Addictions Professional

If you'd like to become a member, you can fill out our online form below or you can print out the application, fill it out and mail it to us.

Membership Application




Last Name :

First :

Middle :





:

































































































       






     






© 2014 Addictions Professionals Association of Saskatchewan. All Rights Reserved.
Web Master:  Laurel Mackie
Membership Application

If you'd like to mail us your Membership Application just click here to print out your application, fill it out and mail it to: APASK, Inc. P.O. Box 8718 Saskatoon, SK S7K 6S6. Please include a cheque made payable to APASK, Inc.

If you wish to Pay by cheque please download and print the membership application and send in with your cheque.
CACCF Certifications
Check One IF APPLICABLE
Contact Information
Health Region:
Job Title:
Employer/Office Street address:
Employer FAX no.:
P.O. Box:
City:
Province: Saskatchewan or
Postal Code:
Employer:
Phone no.:
Cell phone no.:
Work Email:
MEMBER HOME MAILING INFORMATION
Home Mailing Address:
City:
Province:
Postal Code:
Home phone no.
Cell phone no.:
Home Email:
TELL US ABOUT YOURSELF   Which of the following best describes your place of work?
Which of the following best describes your primary job function?
What are your areas of interest?
Please send Email to:
Please send Mail to: (Help save costs check only one please)
MEMBERSHIP FEES:   
APASK  Membership is available only to those professionally employed in the fields of Alcoholism, Gambling and Other Drug Dependencies.
Once you click submit you will be taken to a page to complete your registration.
CHECK IF NEW APASK MEMBER
Voting Member
Associate Member
Past Member
Update INFO
ICADC
ICCS
CCADAC
Assessment/Referral
In-Patient
Out-Patient
Withdrawal Management
Recovery Home
Private Practice
Methodone Program
Counsellor
Clinical Supervisor
Therapist
Administrator
Consultant
Youth
Relapse Prevention
Problem Gambling
EAP’s
Woman & Addictions
Male & Addictions
Elderly & Addictions
First Nations
Fetal Alcohol Effects
Corrections
Mental Health
Suicide Prevention
Abstinence
Harm Reduction
Work Email
Home Email
Both
Do not send Email
Work Address
Home Address
Just Send Email
ICCDP
ICCDPD
ICCAC
ICPS
Other
Voting Member $150.00  New Member or Renewal
  PayPal Payment to be submitted
Other
Other
Other
I have read and agree with the APASK Code of Ethics