Become a Member-Owner

If you’d like to become a member-owner, please fill out the form below or contact our Chair here.

Full Name*
First Last
Address*
Street Address Address Line 2 City Province Polstal Code
Are you a Wellness Practitioner?
- I am a Practitioner
Please check if you are a Health and/or Wellness Practitioner. If you are not, please ignore.
Contact Info
By giving my email address, I am giving the VHC permission to send me information or ask for my opinion on matters related to my Co-op. I will read email and print materials, and attend General Meetings so that I can contribute to decisions about the VHC.
Email*
Member-Owner Responsibilities
As a Member-Owner I will contribute to the work of the Victoria Health Co-op:
As a wellness / health practitioner*
- Yes
- No
Help with governance or management*
- Yes
- No
Occasional help with phone calls, filing, prep for meetings etc*
- Yes
- No
Helping to plan/lead new programs or advocacy*
- Yes
- No
A monthly or annual contribution to the Co-op’s operating costs*
- Yes
- No
Other:
*
- I consent to my submitted data being collected and stored

Printable application form is available for download: VHC Application Form (PDF)

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Contact Info