Anglican Diocese of Wellington
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Accredited Parish Chaplain (APC) Forms

  Pdf version     
 1.  APC Licence Application 2015
 2.  Declaration of Adherence - APC
 3.  Anointing Licence Application 
 4.  Declaration of Adherence - Anointing 2015
 5.  Police Check form  (Word doc)  (download)


Police Check Process – New Form and Procedure from January 2016

Police Vetting Check Process

The Diocese has a policy that police vetting checks are required every three years for all clergy who hold a Bishop's licence (including retired clergy who take services), and all lay people in the parish who do ministry on behalf of the parish.  It is the responsibility of the parish to keep records to ensure that police checks are up to date for those who are required to hold one. 

The information supplied by the Police Vetting Service may only be used by the person requesting the information, i.e., the Bishop.  Information cannot be shared between organisations therefore an application for a police vetting check must be made under the Bishop's name for those who wish to work within the Anglican Diocese of Wellington.

·       The up to date 2016 police vetting check form  - see below.

·       Please destroy any other copies that you may have and use only this one

·       The form may be photocopied

·       The form is made up of three sections – only sections 1 and 2 need to be completed

·       The approved agency is the Anglican Diocese of Wellington – Parish/Mission Unit of ...

Section 1: this needs to be completed and signed by the parish

Section 2: this needs to be completed and signed by the applicant, and women who use their married name need to provide their maiden name

Please return the completed and signed form to the Anglican Centre within two months of signing the form.  The Police Vetting Service will not accept forms that have been signed three months previously.  These forms will be destroyed and you will be requested to complete another form.

The Police Vetting Service will advise the Anglican Centre of the result of the police vetting check, and all acceptable applications will be notified via email to the Vicar/Priest in Charge of the parish and to the parish office.  However, should there be a need; the Bishop will communicate in the first instance with the Vicar/Priest in Charge of the parish. 

If you have any queries, please contact Karen Stewart on 04 472 1057 or email.

Please see:

Police Check Procedure 2016        pdf  file     Police Vetting Form  2016        Word doc  

Updated January 2016  Please note:  This replaces all previous forms and applications will only be accepted using this form.

Updated  January 2016


No reira waiho ko te aroha o Te Matua Kaha Rawa hei korowai mou.
May the love of Almighty God enfold you!