CCHC Membership Application

Membership Application Form
June 1, 2026 to June 30, 2027

Our Mission
We lead the way in improving health and well-being for people and communities.

As a CCHC member, you may:

Run for, become elected and serve as a director on the Board;
Vote for the Board of Directors at the Annual General Meeting (AGM);
Serve on Committees of the Board and the Centre;
Vote for other issues that may come up at the AGM, such as by-law changes.

Name:

Mailing Address:

Telephone number:

Email address:

I support the mission, vision and values of CCHC

Please check all that apply:

I reside within 5 km of 420 Cooper Street, Centretown Community Health Centre
I work within 5 km of 420 Cooper Street, Centretown Community Health Centre
I am a student with CCHC
I am a registered volunteer with CCHC
I am an active client of one or more programs at CCHC

Note on membership dates:
Memberships accepted between June 1, 2025 and May 30, 2026 will expire on June 30, 2026.

Today's Date:

CCHC Membership Application - 2026-27