Class D Application - Baptist Union Superannuation Scheme

This application form is for pastoral leadership students studying full-time or part-time at Carey Baptist College, Auckland City Training School (Equippers College) or Activate Training Centre Limited (Vision College) and approved by the Baptist Union or ACTS Churches NZ.

Title

Given Names*

Surname*

If you would like to be called something else, or go by a different name please tell us

Complete if you are known by a name which is not your first name (e.g. a middle name or a diminutive of your first name)

Date of Birth*

Gender

Male
Female
Other

IRD Number*

Postal Address*

Email address*

I prefer to be contacted at this email address.

Alternative email address

Work phone number

Mobile phone number

Name of College*

Carey Baptist College
Equippers College
Vision College – Christchurch Campus
Vision College – Hamilton Campus

Declarations

I certify and agree to the declarations in this application and to be bound by the terms and conditions set out in the Product Disclosure Statement and the Trust Deed governing the Baptist Union Superannuation Scheme.

I apply for membership of the Baptist Union Superannuation Scheme.