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Trainee Membership Application Form

We’re glad you’ve chosen to join a national community of professionals dedicated to MAiD practice in Canada.

Please complete the application below. Your application will be reviewed to confirm eligibility, and you will be notified by email once a decision has been made.

Payment will be processed only upon approval of your application.

Account Information

Please create a username and password. Your password must be at least 8 characters long and contain upper and lowercase letters, a number, and a special character.

Username(Required)

Password(Required)

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Name(Required)

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Email(Required)

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Professional Information and Verification

Please complete the following fields for your membership record. For renewals, please ensure your information is correct and up to date.

Street Address(Required)

City(Required)

Province(Required)

Country(Required)

Postal Code(Required)

Phone Number(Required)

Training Program(Required)

Institution Name(Required)

Proof of registration or enrollment(Required)

Max. file size: 10 MB.

Membership Reference

To ensure a safe and respectful community, CAMAP requires that applicants provide a reference who can attest to their current or future involvement in MAiD-related activities. This includes, but is not limited to, a current or former member of CAMAP, an administrator or manager within the MAiD community, or a MAiD or medical program director/health authority administrator who grants MAiD-related privileges. Please enter your reference's name and email address here; they will receive an automated email requesting verification of your role in MAiD

Please do not enter your own email address. Doing so will delay approval of your application.

Reference Name(Required)

Reference Email(Required)

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View the Membership agreement

Trainee Membership Application Form

Account Information

Professional Information and Verification

Membership Reference

Organization Information

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