Serving first responders, chaplains, families, and communities.Confidential • Compassionate • Professional

FRCA Membership Application

Begin your application to become part of the First Responders Chaplain Association.

$55 Application Fee — Paid Securely Through Stripe
Your membership application is not submitted for administrative review until the $55 application fee is successfully paid. After completing this form, you will be redirected to Stripe Checkout.
The $55 application fee is one-time and nonrefundable. If FRCA approves your application, the initial $165 annual membership fee (including background screening) is payable separately after approval; annual renewal is $65. Required Red Cross CPR/AED certification is paid directly to the Red Cross (stated cost $38; verify current provider pricing). Membership payment does not automatically confer FRCA licensing, certification, an ID card, or Active Chaplain Directory eligibility.

1. Applicant Information

2. Ministry & Chaplaincy Background

3. Chaplaincy Interests

4. Training & Qualifications

5. References

Reference 1 — Pastoral / Ministry Preferred

Reference 2

6. Agreements & Certification

FRCA may require additional screening, documentation, training, fees, and background-check authorization before membership or credentialing is granted.