Annual Online Register Form

Please complete the below form if you wish to re-register as a chaplain.
If you are a Lead Chaplain please can you ensure all your Free Church Chaplains complete the registration process.

If not included in the above Denomination List
(Membership/Attendance in Local Church)
Details of NHS Trust
Continuing Professional Development
(Confirm by ticking box that you have undertaken Continuing Professional Development in the last year)
If ticked 'yes' above, please explain further the nature of your professional development.