Application for Registration

Please complete and submit this form to begin the process to become a UKBHC registered chaplain.

Why am I being asked for a Fee?

The fee covers the costs of processing your application, and, on the assumption that your application is successful, the first year registration fee. Fees have been calculated to cover the costs of registration through the Professional Standards Authority for Health and Social Care.You will be setting up an annual direct debit from your UK bank account. In the event that your application is unsuccessful the direct debit will be cancelled.

How do I pay?

This system for collecting and recording annual registration/membership fees is integrated into the UKBHC website and database, reducing the admin work required and so helping to keep fees low. Our system uses the secure GoCardless service to handle the transaction.

Is it secure?

No details of your bank account are stored on our website. The payment processor – GoCardless – provides details on its website both about its security framework and its approach to your privacy.

UKBHC Register: Application and First Year Membership)

Please select the appropriate option below.

Membership type *

Full Registered UKBHC Member – £ 60.00

Associate UKBHC Member – £ 60.00

Student Member (PG Certificate Route) – £ 30.00

Student Member (CPE Route) – £ 30.00

Student and/or Associate Member (Portfolio Route) – £ 30.00

Affiliate Member – £ 30.00

Senior Associate Honorary Member – £ 10.00

Please renew my membership automatically.

Total Amount

Fields marked with an asterisk are required.

Initial Applicant Information

Title

First Name *

Last Name *

First and last name will be shared with other visitors to the site.

Street Address

Address line 2

Address line 3

Town/City *

Postal Code *

Contact Email Address

Phone

Please provide a phone number where we can reach you if need be. We won't contact you unnecessarily by phone, but this can be useful if, for example, you accidentally provide an inaccurate email address.

Date of Birth *

Gender *

Female Male Transgender Non-binary Other Prefer not to answer

Current Employer *

Job Title *

Please provide the name of your employer, even if this is the same as the Organisation Name provided above as part of your contact address.

If for any reason you are unable to complete the online application form for UKBHC registration, please contact us via email by clicking the link below, providing further details as to why this website is inaccessible for you.

We can provide you with an offline form to complete as an alternative.

Click here to let us know why this site is inaccessible for you, and to request an offline registration form.

The information you provide will enable us to improve the online experience for all users.

Application for Registration

Application to Join the UKBHC Register