AMSPAR Membership Application Form
Completing the application form is easy:
- All applicants need to complete the "Application for AMSPAR Membership" form.
- Those applying for membership who have obtained an AMSPAR qualification need to enclose a photocopy of their Diploma/Certificate with the application form.
- Those applying for membership who have not obtained an AMSPAR qualification need to arrange for completion of the "Section to be completed by Employer".
- Send your completed application form with the appropriate subscription to:
The Membership Department
AMSPAR
Tavistock House North
Tavistock Square
LONDON WC1H 9LN
We will then arrange for your membership pack to be sent to you.
APPLICATION FOR AMSPAR MEMBERSHIP (2001/02)
Please complete form in full using BLOCK CAPITALS
Your name |
Mr / Mrs / Miss / Ms | |
Surname | |
Forename | |
Home address |
House name/number and street | |
Town | |
County | |
Postcode | |
Phone | | >
Date of Birth | Day: Month: Year: |
Email address (if applicable) | |
Where did you hear about AMSPAR?
Another member / Advertisement / College / Invitation from us / Other
If 'other', please state where:
Work address |
House name/number and street | |
Town | |
County | |
Postcode | |
Phone | |
Email address (if applicable) | |
Qualifications |
AMSPAR qualification gained, if applicable (please give full title) | |
College course undertaken at: | |
Date obtained: | Month Year |
A
COPY OF YOUR DIPLOMA/CERTIFICATE MUST BE ATTACHED
Please state in which area your present appointment is (if any): (circle as applicable)
General Practice / Local Authority / Hospital Service / Education / Private Practice / Industry
Other (please specify):
Job Title of present employment:
Total number of years/months employed in health care- Years: Months:
PLEASE SUPPLY YOUR CV IF YOU HAVE NO AMSPAR QUALIFICATION
Membership category applied for (circle as appropriate): Full / Associate / Affiliate
( See bottom of page for prices )
Full/Associate
membership renewable on 1 April each year. Affiliate membership
renewable on 1 December each year. The fees include a one-off joining
fee of £8.00. Yearly renewal fee is £36.50 for
full/associate/affiliate.
NOTE:
membership fees are reviewed annually. Please confirm the correct
amount on 020 7387 6005 if this form is not for the current year.
The next couple of
pages are included to gauge the priorities, expectations and hopes of
our new members. We aim to find out what is wanted and expected from
us, so we can tailor our service to suit our members needs and
interests.
What do you expect
from your membership of AMSPAR?
Do you anticipate being in a stronger position when finding work because
of your membership of a professional body?
Do you intend to
use the guidelines available to you from AMSPAR?
Do you intend to
use the company discounts we offer our members?
Yes -
primarily for home/leisure
Yes -
primarily for work
Yes - for
both work and play
No - not
interested in them
Not sure/
Don't know if I will
I don't know
anything about these
What discounts
would you like us to try and achieve for our members?
There is
nothing I am particularly interested in that you do not cover.
I am not
really concerned about discounts.
I don't know
which areas to suggest.
I would like
to suggest investigating the following areas:
State in order of
priority (1 being most important) the reasons why you joined AMSPAR.
1:
2:
3:
What would you
like to gain from AMSPAR by the time the renewal year is complete?
Do our annual
conferences interest you?
Do you know any
other AMSPAR members?
Yes - they
gave me a positive opinion about AMSPAR
Yes - they
gave me a negative opinion about AMSPAR
Yes - they
gave me mixed opinions about AMSPAR
Yes - but
they have given me no opinion about AMSPAR
No
Do you want to
network with other members, and take part in local activity?
Yes
No
Not sure/
Don't know
Do you have any
other comments you wish to make?
I hereby apply
for membership of the Association of Medical Secretaries, Practice
Managers, Administrators and Receptionists, and agree to abide by the
Articles and Byelaws of the Association for the time being in force.
I also agree to bide by the rules of the Region and Branch, to which
I belong, at any time.
I enclose a
cheque/postal order for my annual subscription of £______
(please make
remittances payable to "AMSPAR")
SECTION TO BE
COMPLETED BY CURRENT EMPLOYER
CONFIDENTIAL
I can confirm that
the applicant has been employed as a
_____________________________________
for a period of:
_____ Years / _____ Months
and has the
necessary qualifications and/or experience to join AMSPAR as a member
Referee's Name | |
Job Title | |
Address | |
Town | |
County | |
Postcode | |
Please
return to: Membership Department, AMSPAR, Tavistock House North,
Tavistock Square, London, WC1H 9LN. Telephone 020 7387 6005 Fax 020
7388 2648
Levels
of Membership
Full
Available
to those with an AMSPAR Diploma, or those who have been working in
healthcare for more than 10 years.
Adds
the suffix MAMS to your name.
Associate
Available
to those with an AMSPAR Certificate, or those who have been working
in healthcare for 5-10 years.
Adds
the suffix AAMS to your name.
Affiliate
Available
to those who have been working in healthcare for up to 5 years.
Affiliate
members have no voting rights.
Adds
the suffix AMS (Aff) to your name.
Prices
Level
|
1st
April - 30th June
|
1st
July - 30th September
|
1st
October - 31st December
|
1st
January - 31st March
|
Full
|
£44.50
|
£39.50
|
£34.50
|
£29.50
|
Associate
|
£44.50
|
£39.50
|
£34.50
|
£29.50
|
Affiliate
|
1st
December - 28th February
|
1st
March - 31st May
|
1st
June - 31st August
|
1st
September - 30th November
|
£44.50
|
£39.50
|
£34.50
|
£29.50
|
|