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Thank you for your interest in chaplaincy in schools throughout Aotearoa.
Chaplain Application
Your Details
Your name
*
First name
Middle name
Last name
Date of Birth
Gender
*
Male
Female
Physical Address
*
Address Type
Main
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
Postal Address
if different
Address Type
Postal Address
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
Your Region
*
Auckland (Central)
Auckland (East)
Auckland (Far North)
Auckland (Far South)
Auckland (North)
Auckland (South)
Auckland (West)
Canterbury/West Coast
EBOP
Gisborne
Hawke's Bay
Manawatu
Marlborough
Nelson
Northland
Otago
Rotorua
Southland
Taranaki
Tauranga
Waikato
Wellington
Email address
Cell phone
*
Other phone
Marital Status
Divorced or Dissolved
Married
Seperated
Single
Widowed
Occupation
Please upload a passport style photo.
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Emergency Contact Information
Full Name
Contact Number
Relationship
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Police Vetting
Part of the volunteer application involves undergoing Police Vetting every three years, and this application form will be sent to you at the completion of this initial application.
Is there any Criminal History we should know about?
*
I have no criminal convictions
I have a previous conviction which has no relation to child and family care
I have a previous conviction which may have a relation to child and family care.
Please provide any relevant details.
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Church Affiliation
Please fill in the church you currently attend
Name of Church
*
Denomination
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Have you been a Lifewalk Chaplain or Launchpad presenter previously?
*
Yes
No
If Yes, please give a description of your role.
Briefly explain your interest in school chaplaincy.
*
What strengths and skills would you bring to the role?
*
Please describe previous church experience which would be relevant to Chaplaincy.
*
Detail any counselling or Chaplaincy training you have had.
*
Other educational qualifications you have.
*
Outline your recent experience in schools.
*
Explain your experience relating with people from different cultures.
*
Please describe what growth looks like for you in your Christian faith and development. What have been some of your most significant experiences and influences.
*
By submitting this application I acknowledge that I will be added into the National Database, and that this database will only be used for the purposes of administering Lifewalk activities. I also acknowledge that emails will be sent to me in relation to my involvement but that I can change some of these options at any time if I no longer wish to receive them.
Thank you for your application. We will now send you Stage Two via the email address you specified. If it does not arrive please check your junk folder, or contact the National Office for help.
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