"*" indicates required fields

Contact Information

Name*
Address*

Multiple File Upload

Please upload all files listed below in any order. All are required. 1. Chaplain Competencies Document (Since you are a Board-Certified Chaplain (BCC) from an organization using the Common Standard Competencies, please answer the five Evangelical Specific Competencies in the fillable form found on the NAE Chaplaincy website.) 2. Board-Certified Chaplain Certificate (Since you are a BCC from an organization using the Common Standard Competencies, please upload a copy of your BCC certificate. 3. Bachelor and Master of Divinity Transcript 4. Clinical Pastoral Education (Upload certificate showing four units of Department of Education accredited Clinical Pastoral Education.) 5. Clinical Chaplain Work (Upload a document from employer indicating 2,000 hours of clinical chaplain work after completion of four units of CPE. 6. Faith Group Endorsement (Upload official letter of faith group endorsement.) 7. Personal Faith Essay (Create and upload a one-page essay of how you came to faith in Christ and about your current Christan walk.)
Drop files here or
Max. file size: 50 MB.
    By typing my name on this line, I hereby certify the information on this application is true to the best of my knowledge. And I acknowledge that before this application is complete, I will have to submit my social security number upon request for a background check.
    MM slash DD slash YYYY

    Payment

    Upon completing the application, you will be charged a $150 application fee. If you are approved for EBCC certification, someone from our team will contact you to set up annual payments of $250 for your certification.