4702194231 info@firstresponderschaplainassoc.org Donation
Now taking applications for Winter 2024. Classes start in January 8th. Orientation date December 11, 2023. For more information please call 678-438-2322. Space is limited.

Please provide ALL requested information. This document will become a permanent part of your school records. Any false statements will result in immediate expulsion. All student records are confidential, and the contents of a student record will not be released to any member of the public without the prior written consent of the student.

Emergency Contact

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Chaplain Basic Training: Require 25 hours for certification. Continuing Education: Require 20 hours of continuing education every year for good standing, chaplain.

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High School Information

If graduated please enter graduation date, or expected graduation date.

Please provide 2 references. Not Related to you

Extracurricular, Personal and Volunteer Activities

List your organizations, position, description of the activity, and hours per week of involvement.
List each, a description, the level, and number of years of involvement.
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.
Click or drag files to this area to upload. You can upload up to 3 files.
Click or drag files to this area to upload. You can upload up to 5 files.


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.

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Price: $55.00
Application fee is non refundable.

This application was updated 05/2023

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