Application Form for Certification

Welcome to the Chaplaincy Pro Certification application process—a key step toward professional excellence in spiritual care. Completing this application demonstrates your commitment to providing compassionate and inclusive support to those in need.

Please complete all sections of this form thoroughly and accurately. Be sure to select your certification type from the dropdown menu to ensure proper processing.

Important: Register as a member before proceeding. Begin by visiting Membership Registration. After registering, submit your application fee payment and enter the transaction ID in the designated field below.

For detailed certification requirements and steps, visit our Certification Documentation.

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Kaiser Permanente employees are exempt from paying membership dues and certification fees.

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We accept and offer reciprocity for certifications from other Chaplain organizations. Contact us for details on this option.

Pay Certification Fee

Support

Certification Type

Transaction ID

Full Name

Telephone Number

Country

Email Address

Mailing Address

Select Your Degree Type

Bachelor’s Degree Master’s Degree

Degree/Date

To qualify for Chaplaincy Pro certification, candidates must meet the educational requirements for their chosen certification level:

Bachelor’s Degree: Required for Board-Certified Associate Chaplain and Board-Certified Associate Chaplain in Hospice and Palliative Care.
Master’s Degree: Required for Board-Certified Chaplain and Board-Certified Chaplain in Hospice and Palliative Care. The degree can be in religious studies or any related field.

Please indicate your highest level of education in the form below to proceed.

CPE Units Completed

CPE Unit 1 CPE Unit 2 CPE Unit 3 CPE Unit 4

To qualify for Chaplaincy Pro certification, candidates must have completed the required CPE training units for their selected certification level:

2 CPE units: Board-Certified Associate Chaplains and Board-Certified Associate Chaplains in Hospice and Palliative Care.
4 CPE units: Board-Certified Chaplains and Board-Certified Chaplains in Hospice and Palliative Care.

Please select the number of CPE units you have completed to proceed.

Skills Confirmation:

Yes – I confirm that I possess the required skills.

Candidates must demonstrate the ability to work with all belief systems and life philosophies without imposing their own beliefs, proselytizing, or attempting to fix others. The focus is on journeying with individuals and providing spiritual and emotional support as they share their life stories.

Comprehensive Life Account (7 pages):

Detail your journey, including your family system and personal understanding of your role as a Chaplain. Highlight significant moments and relationships that have shaped your path.

Case Study or Verbatim Report (7-12 pages):

Provide a report highlighting a significant case or interaction (not older than 7 months) that demonstrates your role as a Chaplain. Include your assessment, actions taken, and reflections.

Theory and Practice Paper

Upload a document demonstrating your understanding of theory and practice in Chaplaincy work. Include specific examples and insights gained during your training.

Resume

Upload your most recent resume, outlining your professional experience, education, and skills relevant to Chaplaincy work.

Submit CPE Final Evaluation

Submit your CPE Final Evaluation from your Supervisor and your own CPE Final Evaluation units if you have completed them at other CPE Centers. This step is optional but required if you have participated in other CPE units.