Board Certified Chaplain Application

Don't forget to pay for your application to the board. The process includes a phone interview, your packet is submitted to the board for review and a vote, then we call you back with the vote of the board and guidance moving forward with your chaplaincy. The fee also includes a certificate which we mail to you worthy of framing.

Email your questions to chaplaincy@nationalservicecharity.org
Name
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone
Email
Are you a member of a denomination?*
What faith group best represents your faith distinctives and theology? If you can’t identify a denomination, then please email a statement of faith to Chaplaincy@NationalServiceCharity.org
Where do you worship? Your church home?
Ordained?
Include date, place, and ordaining authority
Birth Date
Marital Status
Education History
Try to provide the names of the organization, the dates and any degrees
Are you currently a Board Certified Chaplain?
Please identify the organization and dates of certification
Have you completed any CPE credits?
If so, describe where you earned them, within which certifying body (e.g., ACPE, CPSP, etc.), and how many units you have completed
Churches served?
Try to include the name of the church, the city and state plus the dates of service
Teaching experience:
Give names of churches or schools and subjects taught
Present Occupation / Employment
Business experience:
Other Abilities or Talents:
Anything else you wish to communicate in this application?
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Name
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Board Certified Chaplain Application

Email your questions to chaplaincy@nationalservicecharity.org

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