Membership Application — Chaplaincy New Zealand

Membership Application Form

Please complete the form below

In additional email a clear head/shoulders photo of yourself to admin@chaplaincynz.org.nz AND make the membership payment (details below)

Associate membership is available to those working in a chaplaincy context but have not completed an accredited training chaplaincy programme.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

Gender

Male

Female

Current chaplaincy context

eg military, community, health

Current chaplaincy qualifications and experience

Current chaplaincy qualifications and work experience eg. community, military, prison, hospital etc

Details of senior minister or delegate who could verify good standing within a Christian church

Name

Email or contact phone number

Details of the person who is providing regular chaplaincy supervision. (Must be different to person above)

Name

Email or contact phone number

I agree to having my phone/email details shared with other Chaplains in your area seeking contact/support.

Yes

I have read and agree to abide by the membership requirements of Chaplaincy New Zealand including the attached Code of Conduct for CNZ Chaplains and CNZ Statement of Faith.

Yes

In line with the Assemblies of God NZ safer churches policy I give permission for Chaplaincy NZ to carry out a Police Check on my behalf.

Yes

Membership Payment

Initial joining fee $70 ($35 membership fee plus $35 admin fee)
Subsequent annual renewal fee $35, renewable each year on 31 March
Payment Method Direct debit to CNZ Acc #: 03 1562 0070355 00
Use your surname as the reference

Note: If you are an Alphacrucis Graduate who has graduated within the last 6 months or a current Student at Alphacrucis your Membership is free until the next generic renewal date of 31 March.

Once your membership fee has been confirmed you will receive email confirmation.

In line with the Privacy Act 1993, Chaplaincy New Zealand is committed to respecting your privacy. Information collected will be used for the purpose of contacting you, keeping youup to date, and maintaining a database for deployments.

If you would like to see the personal information relating to you that Chaplaincy New Zealand has stored, or to change such personal information, or if you have any concerns regarding your privacy, please contact us at admin@chaplaincynz.org.nz

Chaplaincy New Zealand - Membership Application

Membership Purposes:
• To establish a network of practicing Christian chaplains functioning within their communities.
• To maintain standards of chaplaincy practice and training.
• To provide for professional development.
• To enable chaplains to connect with other chaplains and chaplaincy organizations.

Membership Criteria:
1. Members must be in good standing with a Christian church in New Zealand.
2. Members must have completed an accredited training programme for chaplains. Any exceptions will be at the discretion of the CNZ Board.
3. Members must adhere to the CNZ Statement of Faith.
4. Members must abide by the CNZ Code of Conduct.
5. Members must regularly participate in chaplaincy supervision e.g. professional supervision, chaplaincy mentor, spiritual director.
6. Members must engage in a minimum of one professional development opportunity each year. (CNZ will provide a list of acceptable professional development opportunities.)
7. Members are required to pay an annual subscription set by the CNZ Trust Board.
8. Membership is reviewed annually
9. Members can nominate a CNZ member for a biennial position on the CNZ Trust Board.

Once your membership fee is confirmed as paid a membership certificate with your ID photo will be emailed to you.