Empower Your Organization with Quality and Safety Standards Leadership

Apply for Organizational Membership and Position Your Institution as a Recognized Leader in Excellence and Compliance.

Organizational Membership Form

Please enable JavaScript in your browser to complete this form.

Organization Name *

Industry *

Primary Services of the Organization (Details) *

Type of Organization (Public / Private / Govt. / Etc) *

Date of Establishment *

Organization Size *1-9 Employees10-49 Employees50-249 Employees250+ Employees

Mailing Address *

Website *

Landline Number (with country code) *

Official Email Address *

Trainings / Certifications / Memberships *

Authorized Person Information *

First

Last

Title / Position *

Mobile Number *

Email Address *

How did you hear about QSSAC?

Trainings / (with

(Authorized Person) I confirm *

• that the information provided in this application is accurate and that all supporting documents are genuine and valid.
• that I have taken reasonable steps to verify the accuracy of the claims made by staff regarding their qualifications and experience.
• that I am prepared to accept the final decision of QSSAC regarding the outcome of this application.
• that I agree to indemnify QSSAC against any claims, demands, expenses, or complaints arising from inaccuracies in the information provided above.
• that I will notify QSSAC of any changes in the ownership of the institution, senior management, or significant variations in the academic program, occurring more than three months prior to the scheduled renewal date for the institution’s QSSAC membership.
• that I accept that the term “QSSAC Organizational Member” refers to my institution being a member of QSSAC, and I will not represent the institution as holding this recognition before it has been granted, nor after it has been withdrawn or suspended.
• that I understand that failure to comply with membership criteria may result in the removal of my institution’s membership by QSSAC.

Legal Name *

Submit