THE ASSOCIATION OF CHRISTIAN COUNSELLORS OF NIGERIA (ACCNIG)

Membership Form

The ACCNIG is made up of practicing Christian counsellors and ministers, certified/licensed Christian mental health therapists and Christian professionals who integrate professional training with sound Biblical truths to bring about total health and wellness to its members and clients. Membership to this association is completely voluntary.

A. BIODATA

  1. SURNAME:______
  1. GIVEN NAMES:______
  1. GENDER:______
  1. AGE:______
  1. STATE OF ORIGIN:______

B.CONTACT

  1. TELEPHONE:______
  1. HOME TELEPHONE:______
  1. PERMANENT HOME ADDRESS:______

______

______

  1. OFFICE AND P.O. BOX:______
  1. E-MAIL ADDRESS:______

C.EDUCATION

  1. UNIVERSITY/POLYTECHNIC:______
  1. THEOLOGICAL:______
  1. OTHERS:______

D.ORDINATION:(Name what you are ordained as and the institution/church that ordained you):

______

PROFESSIONAL CERTIFICATIONS/LINCENSES

(Name the type of certification or license you have and the organisation/institution that licensed/certified/awarded it).

Include copies of all credentials, ordination, certifications and licenses.

Mention your specialised areas of counselling competence for example. (alcohol/substance abuse, Sexabuse, Raperecovery, child abuse etc),Domesticviolence, sexualdysfunction & addiction counselling, counsellingSingles, Suicidecounselling, psychological issues like, Phobias/Stress/Digression/Anxiety counseling,Anger management, Grief therapy & Divorce recovery counseling, Men’s & Women’s issues, Pregnancy (the family),Communication, Parenting & Conflict resolution counseling, Health & Nutrition counseling, Investment & Financial counseling, Biblicaland Pastoral counseling and other…Please mention them below.

I’m specialized in:______

______

BENEFITS OF BEING AN ACCNIG MEMBER:

  • You will be assisted to make loving and positive impact in this generation, God’s way.
  • You will have a solid platform to express your God-given skills through holistic and purposeful counselling of seeking/challenged persons from a Christian perspective.
  • You will have the opportunity of continuous improvement in the counselling field through direct participation in our skills acquisition seminars and conferences.
  • You will have the rare opportunity to belong to and participate in the activities of other national counselling organisations in Europe, South Africa and the USA etc.
  • As a registered member, you have the opportunity to access the association’s library and online resources.

REGISTRATION INSTRUCTIONS:

FULL MEMBERN20, 000.00

ASSOCIATE MEMBERN15, 000.00

STUDENT N5000.00

THE DIASPORA FULL MEMBER$100

ASSOCIATE MEMBER$70

STUDENT$20

All payments are to be made into ACCNIG (UBA Account: 1012512949.) Ajao Estate Branch, Lagos. All intending Diaspora members should send us an e-mail for guidance.

Please attach evidence of registration payment of the registration fee to ACCNIG account and two passport photographs to your completed form and return to No 8 Sanni Adele Close (Flat 2) Ajao Estate,Isolo, Lagos or P.O.Box 5312, Oshodi, Lagos, Nigeria. Tel: 08033330759, 01-6282409 Email:

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