NVGA

Nevada Guardianship Association

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MEMBERSHIP APPLICATION

Name:_____________________________________________________________________________________
Address:___________________________________________________________________________________
Telephone:__________________________________
Email _________________________________________
MEMBERSHIP CATEGORY:
_______ PROFESSIONAL GUARDIAN $50.00 per year dues
An individual who is certified by the Center for Guardianship Certification as a Registered Guardian (RG) or Master Guardian (MG).; or an individual who is working under the direct supervision of an RG or MG as a guardian or a guardian case manager and who intends to become certified as an RG within two years. If after two years, certification is not achieved, the member must renew in another category. $50.00 per year dues.
_______ AFFILIATE PROFESSIONAL$50.00 per year dues.
An individual who receives monetary gain derived from working in the field of guardianship or an affiliate profession (i.e. case manager, social worker, attorney, accountant) and does not meet the definition of Professional Guardian above.
_______ FAMILY/VOLUNTEER GUARDIAN AND NON-PROFESSIONAL. $25.00/$15.00*** per year dues.
An individual who does not receive monetary gain derived from working in the field of guardianships or an affiliate profession but is an interested party or an individual who is a family or volunteer guardian
****Individuals in this category of membership who are 60 years of age or older receive a $10 discount on their annual memberships
Describe your affiliation with guardianships:
__________________________________________________________________________________________
__________________________________________________________________________________________
Have you ever been convicted of elder abuse, exploitation and/or a felony? ________
Are you currently a National Guardianship Association Member? _________
I have read and agree to adhere to the current Standards of Practice and Code of Ethics of the National Guardianship Association in all of my activities associated with guardianships. (www.guardianship.org)
__________________________________________________________________Signature/Date
Enclose payment of applicable dues and send to Deanne Yard, 515 Shadow Lane, Las Vegas, NV 89106.
 
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