ASSOCIATE MEMBER
CONFIRMATION FORM FOR THE YEAR 2017

Please complete and submit this online form by February 28, 2018.

All required documentation must be sent in the original language, preferably in electronic format in marked-up text, to membership_requests@actuaries.org. When the original language is not English or French, an English or French translation must also be sent.

You must respond to all questions. Fields marked * are required.

1. VISION AND MISSION STATEMENT

1.1    Does your association’s aim or purpose in any way conflict with the Vision and Mission Statements of the IAA?

Yes
No

Please provide a copy of your aim, purpose and/or mission.

 


2. Association's governing documents

2.1    Since your admission as an Associate Member of the IAA has your association modified its constitution, by-laws or governing documents?

Yes
No

If you answered yes to the above please forward a copy of any such documents to Karla Zúñiga-Cortés

 


3. NUMBER AND QUALIFICATION OF MEMBERS

3.1  I confirm that on (yyyy/mm/dd) this association had members.

3.2  Do these members reside at more than 3 different addresses?

Yes
No

3.3 Please provide a breakdown of members by category of membership (e.g. Fellows, Associates, Honorary, Students, etc.).

 

3.4 What kind of qualifications or degrees have your members obtained?

3.5    Do any categories of membership meet the education requirements as defined by the IAA Syllabus and Guidelines?

Yes
No


4. PAYMENT OF DUES

4.1    I confirm that this association’s dues are paid for the year 2018.

Yes
No

If your association does not intend to achieve full membership status, please go to question 7.


5. DEVELOPMENT OF DOCUMENTS REQUIRED FOR THE FULL MEMBERSHIP STATUS

5.1    Has the association developed a Code of Conduct?

Yes
No

5.2    Has the association developed a Discipline Process?

Yes
No

5.3    Has the association developed a Process for Adoption of Standards of Practice?

Yes
No


6. ACHIEVING FULL MEMBERSHIP STATUS

6.1    Please indicate your proposed timeline for applying for full membership in the IAA?

Less than 1 year
1-3 years
3-5 years
More than 5 years
Does not intend to request full member status

If your association does not intend to apply for full member status, please indicate the rationale.

6.2 Does your association require any assistance from the IAA in preparing your documentation (Code of Conduct, Discipline Process, and Education Syllabus)?

Yes
No

 If Yes, please identify where assistance is required.

 


7. ASSOCIATION INFORMATION

7.1    Please confirm the name of your president:

7.2    I have reviewed the information on the web site concerning this association and confirm that it is accurate (go to www.actuaries.org, "ABOUT THE IAA" section, select "MEMBER ORGANIZATIONS" then "Associate Members" and click on your association’s name). In particular, I confirm that the information pertaining to the Council Representative, Correspondent and President are accurate.

Yes
No

7.3    If you answered no, please identify the change(s).

7.4    If your country is not already represented would you, or another representative from your association, be interested in participating in the Advice & Assistance subcommittee devoted to your region?

Yes
No
We are already represented on the subcommittee

7.5    If Yes, please provide contact details of the representative to be appointed:


Association:  Please select a valid item.Please select an item.
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