AMQ

Membership application

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Informations

(A passport-size photo with a white background.)
This is the password that you will use to access your AMQ® profile.

Addresses

Home address
Work addresses

Files

Ex. : diploma, certificate, transcript, advanced training, supplements to massage therapy, birth certificate, CV, etc. (.jpg, .png, .pdf, max 50 mb).

Questionnaire

1. Are you or have you ever been a member of another professional association?

If so, please write the name of the association here :

2. Have you ever been denied membership in another professional association?

If so, please explain :

3. Have you ever been the subject of disciplinary measures in another professional association?

If so, please explain :

4. Are you currently the subject of an investigation or legal proceedings that could prevent you from practicing massage therapy?

5. Have you ever been found guilty by a provincial or federal court of an offence that could prevent you from practicing massage therapy?

6. Would you like to be referred to the AMQ® website as a massage therapist?

We will contact you shortly.

7. By checking the checkbox below, I declare that the information provided in this membership application form is accurate and is intended to establish my eligibility to become a member of the AMQ®. I acknowledge that any false statements may result in denial of membership. The information will be kept confidential.

Date : 04/23/2024

8. To allow us to contact our members regularly and to avoid wasting paper and any mail delays, we suggest that all correspondence (membership renewal, notifications, amendments, etc.) be sent to you by email.

By checking the checkbox below, I undertake to read all correspondence received from the AMQ® and to comply with all notifications and amendments.

Date : 04/23/2024

9. By accessing the AMQ® site and/or using its systems and/or services, I acknowledge having read and understood its Privacy Policy and I consent to my personal information being processed in accordance with it.

In addition, by checking the box below, I agree to respect any modification or amendment made to the Privacy Policy.

Date : 04/23/2024

10. After reading the AMQ®'s Code of Ethics and General By-laws, I, the undersigned, undertake to remain true to the mandate of the Association des Massothérapeutes du Québec. I acknowledge that any failure to meet this requirement may be subject to sanctions in accordance with AMQ® provisions.

Furthermore, I undertake by checking the checkbox below to comply with any amendments made to the above-mentioned documents.

Date : 04/23/2024

11. I agree to receive communications from AMQ® and to my personal data being stored, processed and used in connection with my request in accordance with the Privacy Policy.

Date : 04/23/2024