Board Endorsed Clinical Chaplain, Board Certified Associate Chaplain, Board Certified Pastoral Counselor
Documentation Submission

Please note:

Because of the quantity of applications we now receive for certification, we can no longer take documentation in pieces. Documentation must be complete and uploaded via this form it its entirety.

Documentation that is not complete will be deleted.

First Name *

Last Name *

Email *

Phone Number *

Full Address *

Street Address *

Address Line 2

City *

State / Province *

Zip / Postal Code *

Country *

Did you already fill out the application and pay the application and interview fee? This form and documentation submitted will not be accepted until you have filled out your application.
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CPE Certificates (may select multiple files) *

College Transcript and Diploma (may select multiple files) *

Endorsement and Ordination documentation (may select multiple files) *

Theology of Chaplaincy

This essay addresses

ICPT Curriculum: 1.1, 2.2, and 3.1
ICPT Core Competencies: 1, 2, 4, 5, 9, 12, and 13
ACPE Learning Outcomes: L1.1, L1.2, L1.7, L2.1, L2.2, L2.3, L2.4, and L2.7

Word Limit (Word Limit means do not exceed that amount. Our interviewers don't want to have to read through 200 pages of text to find your answers):: 4000 words (approximately 8 single spaced pages)

In the second essay, we take the opportunity to explore your theology of chaplaincy. As a Christian certifying agency, it is important for us to see a manifest understanding of the origins of our faith tradition and its belief structure, as well as how you apply such insights into your delivery of spiritual care as a professional chaplain. A complete essay address the following competencies:
- Core foundations of the Christian faith and my denomination’s expression of it
- Central tenants of pastoral and spiritual caregiving from my faith tradition
- How I integrate psychological and sociological theory and the behavioral sciences in my vision and provision of spiritual care
- My awareness of the many ways that spirituality may manifest at different stages of life, including childhood, adolescence, adulthood, and in later years
- How you, as a provider of spiritual care, can adapt your practices based on such insights
- How you, as a provider of spiritual care, can be present to others who do not share the same faith
- How you seek to honor the physical, emotional, spiritual, cultural, and other expressed boundaries of others in professional practice

Theology of Chaplaincy essay (1 file) *

Spiritual Autobiography -

This essay addresses
ICPT Core Competencies: 1, 4, 5, and 9
ACPE Learning Outcomes: L1.1 and L2.1

Word Limit (Word Limit means do not exceed that amount. Our interviewers don't want to have to read through 200 pages of text to find your answers): 2000 words (approximately 4 single spaced pages)

In the first essay, we are seeking to know you better. We want to learn about your life-story, as told principally through the lens of your faith experience. While it is certainly appropriate to include certain basic facts and formative experiences within your Spiritual Autobiography, the principal content should relate to your journey of faith. Areas to reflect upon include:
- Origins of my relationship with God
- The nature of my conversion experience (if applicable)
- Challenges experienced on my walk of faith
- What has ultimately motivated me to explore chaplaincy as a field of ministry

Biography and journey of faith (1 file) *

Two verbatim case studies (may select multiple files) *

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Board Endorsed Clinical Chaplain, Board Certified Associate Chaplain, Board Certified Pastoral CounselorDocumentation Submission

Please note:

Documentation that is not complete will be deleted.

Board Endorsed Clinical Chaplain, Board Certified Associate Chaplain, Board Certified Pastoral Counselor
Documentation Submission