CV Membership Application

Please note to apply for membership to this association you must be a full member of the Australian Counselling Association (ACA) or currently undertaking recognized counselling studies. The ACA is this association’s umbrella body and we abide by the Code of Conduct and the Disciplinary Code of ACA. All members of this association are accountable in regard to complaints to the ACA and must abide by the outcomes of the ACA disciplinary process.

PRO-RATA Rates :
1st July to 30th June $70.00 (Full member) $40.00 (Student)
1st October to 30th June $50.00 (Full member) $30.00 (Student)
1st January to 30th June $ 35.00 (Full member) $20.00 (Student)
1st April to 30th June $20.00 (Full member) $10.00 (Student)

Full Name
Full Membership Details
Supervisors Name
Supervisors Title


Checking or selecting any of the answers to any of the following will not necessarily preclude you from membership. If you answer did not select any of the following and it is found at a later date you have misled Counsellors Victoria, your membership will be cancelled immediately. Please select only those which apply to you.
applicants to complete

Membership Agreement 

I agree to abide by the Constitution, Objectives, Disciplinary Code and Regulations of Counsellors Victoria Inc. (CV) formally known as Federation of Victorian Counsellors and the Australian Counselling Association (ACA) Code of Conduct. I also give my permission for an authorized representative of CV to contact my supervisor or any other person whom I have nominated to support this application for verification purposes. I also swear that the information provided in this application is accurate and true at the date of signing. By selecting the 'agree' item below, i hereby signify my acceptance of the terms and conditions as set out on this webform.
*Practicing Counsellor – A counsellor who has recognized qualifications as a counsellor and who accepts payment of any kind for a service as a counsellor. This does not include volunteer non-paid work.

Supporting Documentation

Once you have submitted this application form any required supporting documentation can be forward to: Sara Voegtline Memberships 102/465 Macaulay Road KENSINGTON VIC 3031 Any queries regarding this application can be directed to Sara Voegtline, Membership Officer on 0415 322 602 or by email Please be aware that it may take up to four weeks for your application to be processed.

Internet Banking  Bank: Bendigo Bank Name: Counsellors Victoria Inc BSB: 633 108 A/C No: 120 414 073 Reference: Your Name **Please email confirmation of your payment to Sara Voegtline, Membership Officer at
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