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E-Learning Admission Form
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Name
*
First
Last
Email
*
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
Ministry Information
Are you currently a chaplain?
*
Yes
No
In the past
Are you currently a pastor?
*
Yes
No
In the Past
Church affiliation
*
Church Denomination
*
Pastor name or overseer
*
Phone
*
Educational Information
Educational institution
*
Major
*
Gradiuation Date
Educational institution
Major
Gradiuation Date
Personal Reference Section
A minimum of three references are required.
Name
*
Relationship
*
Phone
*
Name
*
Relationship
*
Phone
*
Name
*
Relationship
*
Phone
*
Require File Upload Section (copy)
Resume Upload
Click or drag a file to this area to upload.
If available
Official State ID
*
Click or drag a file to this area to upload.
Three Recommendation Letter Upload
Click or drag a file to this area to upload.
Three recommendation letter are required.
Pastoral recommendation Letter
Click or drag a file to this area to upload.
POLICY STATEMENT
ID of Pastor
Accuracy of information Submited
*
Acknowledge
I understand that this application is for admission only for the term indicated. I agree that I am bound by the F.R.C.A. regulations concerning application deadlines and admission requirements. I agree to the release of any transcripts and test scores to this institution, including any SAT, Achievement Test, and ACT score reports. I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application may result in , denial of admission and invalidation of accreditation. If admitted, I agree to abide by the policies of the Board of Admissions and the rules and regulations of the F.R.C.A. Should any information change prior to my entry into the F.R.C.A. I will notify the Office of Admissions. I understand that the application fee I submit with this application is a non-refundable fee.
Background Check
*
Acknowledge
A criminal background check will be required in all conditionally accepted chaplains before their enrollment in the F.R.C.A. No acceptations.
If you have recived a grant by the FRCA, please key grant ID here.
Apply
Application Fee
Price:
$75.00
Stripe Credit Card
Submit
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