ASSOCIATION OF PROFESSIONAL CHAPLAINS IN KENYA (APC-K) MEMBERSHIP APPLICATION FORM

Section A: Applicant’s Information

1. Full Name *

Section B: Contact Details

2. Telephone / Mobile Number *

3. Email Address *

Section C: Chaplaincy Context & Employment

4. Current Chaplaincy / Spiritual Care Role (Title) *

Section D: Interfaith & Professional Orientation

5. Chaplaincy Practice Context (tick all that apply) *

Interfaith / Multi-faith

Ecumenical

Faith-specific within plural institutions

Secular or public service setting

6. Professional Chaplaincy / Spiritual Care Training (if any)

REGITRATION FEES(tick one that suits you)

Ksh. 3000 or $30 Onetime Registration (Full member: A person who fulfils the requirements for membership)

Ksh. 200 or $2.40 Monthly Subscription (Associate Member: Other professionals or students with demonstrated interests through research in spirituality or has attained 10 units of Chaplaincy Professional Development)

Ksh 50,000 or $500 Life Membership (A person who expresses exceptional interest and commitment to APCK objectives and values shall pay a one-time registration)

MPESA
Paybill: 522522 Account No: 1348909919

Bank Payment Details
Name of the Account: Association of Professional Chaplains in Kenya
Name of Bank: KCB Bank, KIKUYU


Once you have paid, please sMS the payment details to the Treasurer Prof. Kirika at +254 722 771 276

Association Contact Information
Physical Address: Chaplaincy Training Centre,
next to Mother and Baby Hospital, Moi Teaching and Referral Office,
ELDORET, Kenya.

Phone: +254 715 653 017

Email: info.apckenya@gmail.com ;    info@chaplaincy.co.ke

Submit