Email * Phone * Emergency Contact Phone * Relationship to applicant * Phone * Gender * – Please Select – Male Female Are you a veteran of the U.S. Military? * – Please Select – Yes No Section Divider This application is for enrollment as: *
Chaplain Basic Training: Require 25 hours for certification.
Continuing Education: Require 20 hours of continuing education every year for good standing, chaplain.
Which campus do you seek admission? * – Please Select – Lilburn Campus (in person) Greensboro Campus (in person) Online Campus Do you hold credential with any other Christian institution? * If yes explain Section Divider Are you currently or have you ever been charged with or subject to disciplinary action for scholastic or any other type of misconduct at any educational institution? * Have you ever been charged with a violation of the law which resulted in, or if still pending could result in, probation, community service, a jail sentence, or the revocation or suspension of your driver’s license (including traffic violations which resulted in a fine of $200 or more?) * High School Information High School Name *
Please provide 2 references. Not Related to you
Phone Relationship * Phone * Relationship * Extracurricular, Personal and Volunteer Activities Extracurricular Activities *
List your organizations, position, description of the activity, and hours per week of involvement.
Talents and Awards *
List each, a description, the level, and number of years of involvement.
Community Service Work
List the type of work, your role, and hours per week of involvement.
List the job, your title, description, hours per week, and dates of employment.
Attach a resume if available, Word, PDF or text document if necessary
Please attach a 2 photo ID *
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 or residency statement will result in disciplinary action, denial of admission and invalidation of credit or degrees earned. If admitted, I agree to abide by the policies of the Board of Regents 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.
Do you understand and agree to the terms listed above? * Section Divider Credit Card Information * Application Fee
Application fee is non refundable.