Honorary Registered membership form

Renewal for Honorary life Registered Professional Member of the NZAPH

Registered Professional Membership

Registered Professional Members

Criteria / Requirements

An individual who.

1.Has completed 300 hours of clinical practice and a minimum of three (3) years in practice.

2.Has completed a minimum of 12 monthly 1:1 clinical supervision sessions each year for at least eighteen (18) months.

3.Undergoes ongoing clinical supervision.

4.Completes CPD of 30 hours per year.

5.Has a current first aid certification.

6.Has Indemnity and Public Liability insurance

7.Obtains a Police clearance.

Membership Rights

1.Participation in networking and discussion groups.

2.Peer support.

3.May use the NZAPH logo and/or the abbreviation “RPMNZAPH” / “R.P.M.N.Z.A.P.H”

4.Inclusion in the online Therapist Register.

5.Right to Vote.

6.Eligible to stand for committee

7.Eligible to be on the Board of Examiners.

Police-vetting-form-2024.docx

NZAPH Honorary Life Registered Professional and Honorary Life Professional Membership Renewal and Personal Declaration
2025/26

Please complete the form

First Name

Date of Birth

Last Name

Email Address

Phone

Please provide your full mailing address

Professional Membership

Professional development 30 hours per year

Maintains a police check

Holds full indemnity and liability insurance

Holds an up to date first aid certificate

12 hours of clinical supervision per year

Professional development log

Please provide dates of your clinical supervision and how many hours you have done this year. Please state if is group supervision or one on one supervision.

First aid certificate

Upload File JPEG, PNG.

Upload supported file JPEG, PNG, (Max 15MB)

Indemnity and liability insurance

Upload File PDF

Upload supported file PDF (Max 15MB)

Please upload a photo of yourself

Upload File JPEG, PNG.

Upload supported file (Max 15MB)

Would you be open to being on the NZAPH committee?

Criminal Convictions

Step 2. Download and fill out this Vetting Service Request & Consent Form for a police check this is in word format to be filled out with appropriate ID that can be sited and verified then send it the info@nzaph.com

I accept to abide by the NZAPH code of ethicsNZAPH code of ethics

I accept to abide by the NZAPH constitutionNZAPH constitution

I acknowledge and undertake as follows: 1. I will not take any action or make any omission or make any statement whether written or verbal that may create any liability in respect of the Association; nor will I bring the Association into disrepute or in any way affect its credibility. 2. In the event that any party takes any action in which the Association is named a Defendant or as a party against which any claim of any sort is brought due to any action in which I have been involved solely or in conjunction with any party or parties whether or not that party or parties are other members of the Association, then I hereby undertake to indemnify the Association against all such claims, actions, costs, or liabilities howsoever arising to the fullest extent being aware that should any other party or parties be so involved who are other members then they shall share equally in such indemnity with me. This undertaking shall include any act or acts or statements which may have been done or made prior to the date on which this acknowledgement and undertaking has been dated back to and inclusive of this undertaking and indemnity. Nothing in the foregoing clauses shall in any way give rise to the activation of this indemnity to any properly activated and voted upon decision of the Management Committee. I do solemnly declare that… 1. I agree to comply with the Constitution, Rules and Ethics of the New Zealand Association of Professional Hypnotherapists Inc. (This requirement applies to ALL members) 2. I have completed a minimum of fifteen (15) hours on-going training from 1st April 2023 to 1st April 2024 and my NZAPH P.D. log is complete and up to date and available for inspection. This year’s Professional Development log is attached. (This requirement applies only to Professional and practicing Honorary Life members - Please delete if not applicable.) 3. I have not had any criminal convictions since joining the organization. (Should this not be the case then the NZAPH committee needs to be advised of the nature of the convictions so that they can ascertain whether it affects the suitability of the candidate for continuing membership.) I make this declaration consciously, believing it to be true and by virtue of the Oaths and Declarations Act 1957. Declaration I hereby declare that the information provided in this application is true and correct to the best of my knowledge and belief. I agree to abide by the NZAPH Constitution and Ethics if accepted as a member.View terms of use

Thanks for your NZAPH membership submission!

Renewal for Honorary life Registered Professional Member of the NZAPH

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Registered Professional Membership

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NZAPH Honorary Life Registered Professional and Honorary Life Professional Membership Renewal and Personal Declaration 2025/26

NZAPH Honorary Life Registered Professional and Honorary Life Professional Membership Renewal and Personal Declaration
2025/26