TCMA - Membership Renewal

Membership Renewal

This form is to be used by people who are current financial members of TCMA or who have previously been financial members of TCMA. If you have never been a member, you will need to download and complete the membership application form and send it to the Secretary for processing.

Some people have been experiencing difficulty in making the form work. If this is happening for you, you can download a version of the form in Word, complete it, save it with your name in the filename and email it to Patricia Blundell at the email address in the document.

Given Name:

Family Name:

Title:

Institution(s):

Campus(es):

Campus Address(es):

Faith Group, Denomination (e.g. Anglican, Catholic, Muslim, Buddhist etc)

Sponsoring Body: (e.g. denomination, ecumenical, university etc)

Contact Details

Postal Address:

Phone:

Mobile:

Fax:

E-mail:

Qualifications and Experience

Qualifications: (please list tertiary qualifications)

Pastoral Experience (educational and/or industrial):

Length of tertiary chaplaincy experience:

Nature of Appointment

Ongoing
Contract:
(Length of contract)

Full time:
Part time:
(please specify days/hours per week)

Research/Publications

Please provide information in the following order and hit Enter at the end of each set of details;
Books and book chapters:
Author(s), Title of chapter where applicable, Book Name if applicable, Year, Publisher's name and place of publication, page numbers where applicable

Journal Articles:
Author(s), Title of article, Journal Name, Year, Volume and issue number, page numbers

Web Publications
Author(s), Title of article, Year of writing, URL

Any other writing that may be of interest to other chaplains?
Please provide outline of content and how it can be accessed

Brief description of any research that you are currently conducting

Areas of expertise in which you could support TCMA