The application form below is designed to gather necessary information for the Applicant Review Committee to review prospective members before ratification by the Board of Directors. Should your application be approved, this information will be added to the searchable secure CCIC only database. The database can be searched by name or location and is designed to facilitate networking and contacts within the CCIC. Your information will appear in the database exactly as it is input. Please note that you may return at any time to update the information you provide by selecting the 'Update Information' option. You may also choose to complete any non-mandatory questions at a later time, if you do not have time to do so right now.
* are mandatory fields