Application for BCCI Mentors - Association of Professional Chaplains

A Mentor to BCCI Certification Candidates must be a Board-Certified Chaplain with training on what BCCI expects from candidates preparing for the certification process including the written submissions and the interview.

Training: Training will be conducted by Zoom call that will go into more detail on the application process, resources for candidates and what candidates can expect from the certification process.

Prefix

Name*

First Last

Email*

Enter Email Confirm Email

State of Residence*

State / Province / Region

Employer*

Employer Setting*

If other Employer Setting, please specify

Position or Title*

Area of Specialty/Clinical Focus*

Year of Certification*

Spiritual/Faith Group*

Ethnicity*

If other ethnicity, please specify*

Gender*

Are you an active Certification Specialist with BCCI?*

Yes

Have you completed Presenter Training?*

Yes

Are you able to mentor at minimum two candidates per year?*

Yes

Have you previously mentored BCC Candidates?*

Yes

Have you previously served on a certification committee?*

Yes

How many?*

How many as chair?*

How many as presenter?*

What interests you in being a certification mentor?*

What have you found to be the most helpful or beneficial to your candidates in your role as a mentor?*

Do you have any best practices you can share with BCCI?

BCCI Application to be a Mentor to Certification Candidates

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