Checklist For Organizational Partners

IMPORTANT NOTES:
  • Candidates must submit a complete file. Application is complete ONLY after all materials are received, all equivalencies (if any) approved and all fees paid. All application materials listed below must be submitted and are not optional.
  • Incomplete applications will be mailed back, and BCCI will retain a $50 administration fee for reviewing and returning incomplete materials. The candidate will have to reapply in the future.
  • Submit the current application. Standards are subject to change, and you will be held to the standards in place for the year in which you apply. If your application is outdated, it will be returned to you for resubmission.
  • Provide documentation of current endorsement or acceptable language in accordance with your own spiritual/faith tradition (received or reaffirmed within last 12 months). The letter must be mailed, emailed, or faxed directly to the BCCI office from your spiritual/faith group. Contact your spiritual/faith group as soon as possible to obtain your letter, as this process can take many months to complete. Spiritual/Faith groups must be recognized by the Department of Defense (Armed Forces Chaplains Board) or previously reviewed and approved by BCCI. If not, contact BCCI regarding a review of the spiritual/faith group.
    • Please submit one-sided documents ONLY.
    • Please no plastic sleeves, binders, staples or paperclips.
    • Application form must be typed.
  • Complete application and supporting documents are valid only for one year (12 months) from the date they were received by BCCI.
Items that Must be Submitted by CANDIDATE:
NAVAC applicants must submit the following additional materials:
NACC applicants must submit the following additional materials:
ACPE applicants must submit the following additional materials:
Item that Must be Sent Directly to BCCI Office by SPIRITUAL/FAITH GROUP:

AFTER SUBMISSION OF THE APPLICATION

  1. Applications are reviewed in the BCCI office for completeness. The candidate shall be notified by the BCCI office when application materials have been reviewed and are considered complete.
  2. Certification will be effective after the commission has approved and the board has ratified the recommendation.
  3. Certificates will be awarded at the next APC annual conference (or mailed after the conference, if necessary).

APPLICATION FORM FOR ORGANIZATIONAL PARTNERS

Certification application fee: $100
NOTE: certification fee does not include APC membership. See Join APC for information.
I am certified by: (check one):

PART 1: ALL APPLICANTS

Personal Information
Salutation:
Demographic Information (optional but used only for internal reporting)
MM slash DD slash YYYY
Sex:
Ethnic Group:
Please select the ONE that best describes your current work setting:
I prefer to be contacted at:

Spiritual/Faith Group Endorsement Letter

1. Letter of Endorsement/Support from Spiritual/Faith Group
Provide documentation of current endorsement or acceptable language in accordance with your own spiritual/faith tradition (received or reaffirmed within last 12 months) by a recognized spiritual/faith group for work as a chaplain. The letter must be mailed, emailed, or faxed directly to the BCCI office from your spiritual/faith group.

Current Certification From Organizational Partner

Submit a copy of certificate from ACPE, CASC, NACC, NAJC or NAVAC.
Note: NAVAC certificate must be dated after September 21, 2000.
MM slash DD slash YYYY

Accountability for Ethical Conduct

Complete and return the Accountability for Ethical Conduct form.

Consent

I certify that the information in my application materials is accurate and true. I hereby authorize the BCCI office, the Commission on Certification, and certification committee to review and verify my application materials. I understand that providing false, incomplete or misleading information may result in denial of my application. I understand that my application materials will not be shared by BCCI outside of its processes.
MM slash DD slash YYYY

NACC APPLICANTS ONLY

Education Documentation

Please submit official graduate degree(s) transcripts from institutions accredited by a member of the Council for Higher Education Accreditation (CHEA, www.chea.org).
Any hours earned from CPE?

Work Experience

Please submit a letter from your administrator verifying 2,000 hours of work experience as a chaplain following the completion of four (4) units of CPE and apart from CPE training or residency.

NAVAC APPLICANTS ONLY

Work Experience

Please submit a letter from your administrator verifying 2,000 hours of work experience as a chaplain following the completion of four (4) units of CPE and apart from CPE training or residency.

CASC, NACC, NAJC and NAVAC applicants stop here.

The following competencies must be addressed in four (4) essays, double spaced, 12-point font, one-inch margins. Essays 1 (ITP), 2 (PIC), and 4 (OL) must be no less than four and no more than six pages in length; Essay 3 (PPS) must be no less than six and no more than eight pages in length. Clearly identify and label each Essay and Competency.
Section I. Integration of Theory and Practice Competencies (Essay 1)
Section II: Professional Identity and Conduct Competencies (Essay 2)
Section III: Professional Practice Skills Competencies (Essay 3)
Section IV: Organizational Leadership Competencies (Essay 4)
Payment Information
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