Association of Christian Counsellors in South Africa

50 Wenning Street, Groenkloof, Pretoria 0181
Phone:  (012) 346 6339 Fax:  (012) 346 2824

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Online Application

ACC in SA Membership Application Form

PERSONAL INFORMATION

Surname Title
Name Initials
ACC No. Rec. No.
Date Rec.    
Postal Address    
City/Town Province
Postal Code    
Tel (H) Tel (W)
Fax Cell
E-Mail Date of Birth
Denomination/Church Current occupation
Specialization/Interest Highest Degree/Diploma
 

REGISTRATION CATEGORY

DUAL REGISTRATION

Affiliate Member:

Supporters of the ACC who receive only the Newsletter and not actively involved in counselling

Pastor:

Specialized Counsellor:.

Psychiatrists, psychologists, social workers, pastoral counsellors  with a masters or doctorate in counselling, and others who have advanced training in counselling

Psychiatrist:
Para-Professional Counsellor:

Pastors,  medical doctors,  psychiatric nurses, church leaders, and others with theological and/or counselling training on an Honours level

Psychologist:
Lay-Counsellor:

Church members, students, and others who have at least one year of counselling training and are counselling under supervision

Social Worker:
    Other

    Registration Number

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PAYMENT

Membership annual fee R50.00 Renewal?                 New registration?

 

ACC eNews?           

ACC referral list?

My  cheque is in the mail  and made payable to ACC in SA

The total amount  due  has been  paid  into  the ACC in SA Bank account FNB Brooklyn  (Branch code 251345) Acc. No. 620306 28872  (please fax copy of deposit slip to us)

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STATEMENT

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As a Christian counsellor I share a commitment to Biblical truth and psychological excellence.  I am committed both to the integration of Biblical theology with the principles of counselling and to the develop­ment of excellence in my own counselling theory and practice

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I  hereby acknowledge and accept the principles and doctrine of the ACC and undertake to advance the purposes of the Association and contribute to the professional development of Christian counselling

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I  accept responsibility to pay my annual dues immediately and yearly thereafter by 28 February of each year

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I  am joining the ACC as a member and undertake to cancel my membership in writing when wanting to do so. I understand that I will still be liable for the membership dues applicable for the year in which the membership is cancelled

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 I undertake to keep the ACC office informed of any change in my address and/or particulars

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By submitting this form I accept the above statement Date:

Enquiries: Tel 012-346 6339 / Fax 012-346 2824

Download Application Form

 

 

 

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