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First Responders Chaplain Association, Inc
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Join the F.R.C.A
First Responders Chaplain Association, Inc
Join the F.R.C.A
Home
About
FAQ
Contact
Login
Admissions Request Application
Home
Admissions Request Application
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
–
Step
1
of 7
1. Personal information
Name
*
First
Last
Date of Birth
*
Gender
*
— Select Choice —
Male
Female
Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Email
*
Next
2. Ministry Calling and Personal Testimony
This section helps the association unerstand the applicant’s spiritual background and calling.
Share your personal testimony of faith in Jesus Christ.
*
When did you feel called to ministry or chaplaincy?
*
What motivates you to serve as a chaplain?
*
Share information following?
Describe your current church involvement
*
Previous
Next
3. Church Affiliation
Name of the church
*
Address
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
Senior Pastor Name
*
Years attending this church
*
Are you a member in good standing?
*
— Select Choice —
Yes
No
Pastoral Letter of Recomendation
*
Drag & Drop Files,
Choose Files to Upload
File Upload
Church Letter of Recomendation
*
Drag & Drop Files,
Choose Files to Upload
File Upload
Previous
Next
4. Education History
Highest Level of Education Completed
*
— Select Choice —
Highschool
Associate degree
Bachelors Degree
Masters Degree
Doctorate Degree
Do you have any of the following?
*
— Select Choice —
Seminary Training
Chaplaincy Training
Biblical Counseling Training
Did you graduated?
*
— Select Choice —
Yes
No
Add Diploma or Certificates Earned
Drag & Drop Files,
Choose Files to Upload
You can upload up to 10 files.
File Upload
Name of Educational Institution
*
Name of the program completed
*
Phone
Address
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Previous
Next
Letters of Recomendations
Applicant must submit three letters of recommendations professional reference or character reference. Each reference should include the following: Name and last name, phone number, email, relationship.
File Upload
*
Drag & Drop Files,
Choose Files to Upload
You can upload up to 5 files.
Next
Background Check Consent
I hereby consent for First Responders Chaplain Association, Inc and/or its agents to investigate my background, references, character, past employment, education, and criminal history records. This may include a consumer report and/or investigative consumer report containing information on my character, reputation, personal characteristics, and criminal history, including searching state/federal sex offender databases. I understand this information will be used to evaluate my eligibility for employment or volunteer positions. I authorize any individual, company, firm, corporation, or public agency (including law enforcement agencies) to release all information, verbal or written, pertaining to me.
Choos One
*
Yes
No
Statement of Faith
Applicant must affirm agreement with F.R.C.A. Statement of Faith. Statement of faith can be found under “Statement of Faith” on of the “About” page on our website.
Choose One
*
Yes
No
Code of Ethics Agreement
Applicant must Commit to the F.R.C.A. Code of Ethics under the code of “Code of Ethics” section of the “About” page on our website.
Checkboxes
*
Yes
No
Previous
Next
Application Fee
*
Price:
$125.00
A $125 non refundable fee will be charge to you credit card of choice. By submitting my payment I acknowledge that all the information provided if tru to the best of my ability.
Stripe Credit Card
*
Submit
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