This membership application is your first step in joining a collaborative community dedicated to being relentless champions for children and youth by raising awareness, increasing capacity and advancing sustainability. Please ensure this form is completed by the a member of your CYAC's senior leadership who is able to act on behalf of your organization. There will be opportunity to add additional team members to your profile later.
This form is for CYACs in the feasibility or early development stage and are not yet actively providing services and supports for children and youth.
This membership application is your first step in joining a collaborative community dedicated to being relentless champions for children and youth by raising awareness, increasing capacity and advancing sustainability.
Once your membership has been approved by the CYACC Board of Directors and you have paid your membership fee, you will be invited to provide additional information about your organization and your needs as part of a membership profile. This profile will help us understand your organization’s structure and services and needs.
As per the CYACC Bylaws, Emerging Membership is open to CYACs that meet the following criteria. Please confirm your eligibility by checking each statement below. Membership is subject to approval by the CYACC Board of Directors. Once your membership has been approved by the CYACC Board of Directors, CYACC National Office will reach out to you
Our CYAC is working towards having the following A functional multi-disciplinary team that meets regularly for case review that includes police, child protection and victim services A designated, child-friendly space for a collaborative interview process that includes planning between police, child protection and victim services personnel A local agreement that outlines the service model of the CYAC response Working in alignment with, and towards implementation of all, the Canadian Guidelines for Child and Youth Advocacy Centres. * Canadian Guidelines for Child & Youth Advocacy Centres - 2018-CAC-National-Guidelines-2018-update.pdf
What is the operational level of your CYAC? == select == Open In Development Feasibility study Needs assessment
Other:
CYAC Name: (If you are not yet an established legal entity, please provide the name you are currently operating under or region you will be serving.)
Address (Main Office)
City
Province== select == AB BC MB NB NL NS NT NU ON PE QC SK YT
Country== select == Canada United States --- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe
Postal Code
CYAC Contact Information: (Optional)
Main Phone Number:
General Email Address:
Website (if applicable):
Facebook (please insert URL):
LinkedIn (please insert URL):
Instagram (please insert URL):
Twitter (please insert URL):
Our CYAC collaborates with or plans to collaborate with the following multi-disciplinary team (MDT) service providers (check all that apply): Child protection services Child, victim and family advocates Crown prosecutors Education system professionals Forensic interviewers Medical professionals Mental health professionals Police/Law Enforcement Victim services
Year CYAC planning began
Membership Fees
CYACC will pay your member fees for the 2025 year. Members who wish to continue their membership with CYACC in 2026 will be required to pay the following annual membership fees. Fees were determined through consultation with the National Network.
Our CYAC falls under the following development stage == select == Feasibility In Development (current budget less than $250,000) In Development (current budget over $250,000)
Member CYACs must designate a Representative to act on their behalf for the membership including attending and voting at the annual general meeting.
First Name
Last Name
Title/Position
Phone
E-mail
Alternate Member Representative (Optional)
If the designated Representative cannot attend a meeting, your organization may assign an Alternate Representative.
Name
Email
Yes - I, the Representative, declare that the information provided in this application is accurate and that our organization meets all eligibility requirements for membership with CYACC.
Yes - I acknowledge that by being a member my organization will adhere to the CYACC bylaws and that failure to do so may result in termination of our membership. * CYACC bylaws - CYACC-Bylaws.pdf
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