New Membership Application

Become a member

As a BCIT retiree, you’re automatically eligible to become a member of the BCITRA. Fill out the registration form below. When completed, click the submit button and you’re in!

When your registration has been received and processed, you’ll receive a welcome package and your membership card in the mail.

Date(Required)
Please enter date of application
Name(Required)
Please enter First and Last Name
First Last
Address(Required)
Please enter Your current mailing address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone(Required)
Please enter your current phone number
Email(Required)
Please enter your email address
Enter Email Confirm Email
Spouse or Partner's Name
First Last
Which department at BCIT did you work for?(Required)
What is your Pension Plan?
Date of Retirement
Please enter your retirement date from BCIT
Are you an BCIT alumni?
- Yes
- No
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Privacy Notice: The information you provide will be used to respond to your request for membership in the BCIT Retirees' Association and to provide updates BCITRA events and activities, and is collected under Section 26(c) of the Freedom of Information and Protection of Privacy Act (FIPPA). For more information about BCIT’s privacy practices contact the Director, Privacy, Information Access & Policy Management, British Columbia Institute of Technology, 3700 Willingdon Ave. Burnaby, BC V5G 3H2, email: privacy@bcit.ca.