Addictions Professionals Association

of Saskatchewan

Membership Application

APASK, Inc. P.O. Box 8718 Saskatoon, SK S7K 6S6

Today’s date: 9/26/2010 / CHECK IF NEW APASK MEMBER / Voting Member Associate Member

Member Information

Last Name: / First: / Middle: / Mr.
Mrs. / Miss
Ms. / C.A.C.C.F. Certifications
ICADC ICCS CCADAC
Health Region: / Job Title: / Other:
Employer/Office Street address: / EmployerFAX: ( ) -
P.O. Box: / City: / Saskatchewan / Postal Code:
Employer: / WorkPhone: ( ) - Ext:
Work Email: / EmployerCell:( ) -

Member HOME Mailing INformation

Home Mailing Address: / Home Email: / Home phone no.: ( ) -
City: / Province: / Postal Code: / Cellphone no.: ( ) -

Tell us about yourself

Which of the following best describes your place of work?
Assessment/Referral In-Patient Out-Patient Withdrawal Management Recovery Home Private Practice
Methodone Program Other:
Which of the following best describes your primary job function?
Counsellor Clinical Supervisor Therapist Administrator Consultant Other:

Professionally Employed

Associate Membership $88.00 (non voting)

Supporter not an Addictions Professional

APASK CODE OF ETHICS

As a member of the Addiction Professionals Association of Saskatchewan I have a responsibility to:

  1. Believe in the dignity and worth of all human beings and that I shall not in any way discriminate between clients or fellow professionals on the basis of race, color, creed, age, or sexual orientation.
  2. Recognize the right to respectful treatment of anyone suffering from alcohol and drug abuse and or addiction and that the primary goal is recovery for the client and his/her family.
  3. Provide the highest quality care for those who seek addictions services.

4.Maintain a professional relationship with all persons served, assisting them to help themselves, and referring them promptly to other programs or individuals, when in their best interests.

  1. Adhere strictly to established precepts of confidentiality regarding all knowledge, records and materials concerning persons served in accordance with relevant Saskatchewan government legislation and regulations.
  2. Ensure that all transactions between myself and persons served are non-exploitive and essential to their recovery; and furthermore I shall maintain at all times an objective, non-possessive, professional relationship with all clients.
  3. Give due respect to the rights, views and positions of my colleagues and other related human service professionals
  4. Respect those institutional polices and procedures, with which I may be associated, as long as these policies and procedures remain consistent with recognized standards, best practices and ethics.
  5. Contribute ideas and findings regarding alcohol and drug abuse and or addiction including treatment and recovery wherever and whenever appropriate.
  6. Maintain individual responsibility for personal conduct in all lifestyle areas. So as not to diminish my personal capability, integrity, professional competence and legal obligations.
  7. Avoid claiming or implying any personal capabilities or professional qualifications beyond those I have actually attained.
  8. Regularly evaluate my own strengths, limitations, biases, or levels of effectiveness, always striving for self- improvement and seeking professional development by means of further education and training.

I will adhere to these ethical principles as part of my responsibility as a member of APASK, the Addiction Professionals Association of Saskatchewan, Inc.

Signature______Date ______

COMPLETE FORM, SIGN CODE OF ETHICS, PRINT AND SEND WITH PAYMENT

THANK YOU FOR YOUR SUPPORT. Laurel Mackie 2014