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Chaplain Certification Application

Life Training Academy offers multiple levels of chaplaincy training and formation.

While foundational training is available through general enrollment, advanced chaplaincy formation and certification tracks require a completed application and approval. This process ensures ethical readiness, alignment with the responsibilities of chaplaincy, and the integrity of our certification standards.

All information submitted will be reviewed and verified by our team. Applications containing falsified, unverifiable, or inappropriate information will be disqualified and removed from our system.

Once you have completed the application in its entirety, you will be directed to a confirmation page outlining important next steps. You will also receive an email confirming receipt of your application. Please be sure to check your inbox—including Spam or Promotions folders—for updates regarding acceptance or next steps.

Incomplete applications will not be reviewed or considered.

Qualified applicants may be contacted within 7 - 10 business days of submitting a completed application to finalize enrollment details.

When you are ready, click the button below to begin your application.

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Click the button below to Start Application!

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Question 1 of 34

First Name (As it should appear on your credentials)

Question 2 of 34

Middle Name or Initial (As it should appear on your credentials)

Question 3 of 34

Last Name (As it should appear on your credentials)

Question 4 of 34

Gender

A

Male

B

Female

Question 5 of 34

Birthdate (MM / DD / YYYY)

Question 6 of 34

Please provide the two middle digits of your social security number. (This is only used to create your Student ID - 000-12-0000)

Question 7 of 34

Email  (You will receive communications from us)

Question 8 of 34

Phone Number  (You will receive communications from us)

Question 9 of 34

Address Street | City | State | Zip Code (May be required to receive some class materials and credentials)

Question 10 of 34

What social media platforms are you currently active on?

(Select all that apply)
A

Facebook

B

Instagram

C

TikTok

D

Twitter / X

E

YouTube

F

LinkedIn

G

Club House

H

Other

Question 11 of 34

Please list your social media handles for Facebook, Instagram, TikTok and LinkedIn. (We use social sites to aide in verifying your identity)

Question 12 of 34

How did you hear about LTA Chaplaincy Certification Program? (Check all that apply)

(Select all that apply)
A

Alumni Referral

B

Staff Referral

C

Pioneers Conference (North Carolina)

D

Facebook

E

Instagram

F

Email

G

Community flyer

H

LTA Affiliate or Partner

I

YouTube

J

Local Church or Pastor

K

I have no idea!

Question 13 of 34

Have you graduated College/University (This is not a Prerequisite to be accepted into our program)

A

AA

B

BA/BS

C

MA/MS

D

PhD

E

Currently Attending

F

Never Attended

Question 14 of 34

What field of study is your degree in? (N/A if not applicable)

Question 15 of 34

Have you attended any other ministry schools, seminary, other programs?

A

Yes

B

No

Question 16 of 34

If you answered yes to the previous question: What other programs, seminary or ministry schools have you attended?

Question 17 of 34

Do you have a church affiliation and if “yes” what is the name | city | state?

Question 18 of 34

Do you attend church or a ministry service regularly? (In Person or Online)

A

Yes

B

No

Question 19 of 34

Are you a minister? (This is not a prerequisite. Your active license or certificate would confirm "licensed" or "ordained". If your physical proof has an expired date, please select the appropriate option "C" below)

A

Ordained

B

Licensed

C

My Credentials are Expired

D

None of the above

Question 20 of 34

Please list a pastoral, spiritual or accountability leader reference that can confirm your spiritual development and involvement over the last 2 years in a church, ministry or community aspect.

Question 21 of 34

If you were referred to this program by an Alumni/Student or Instructor/Staff, please list their name (first & last).

Question 22 of 34

In what capacity are you currently serving in your local church, ministry or community?

Question 23 of 34

If you are not currently serving in one of the above capacities, please explain why.

Question 24 of 34

Please describe your ministry, volunteer or community experience.

Question 25 of 34

In what capacity do you plan to use your certification and training? (Examples: church pastoral care, hospital/hospice interest, community outreach, incarceration, grief support, crisis response, etc.)

Question 26 of 34

What capacity(s) have you already served or worked as a Spiritual Care Leader?

(Select all that apply)
A

Church

B

Hospital

C

Nursing Home

D

Hospice

E

Prison

F

School

G

Sports

H

Military

I

Police or Fire Department

J

Corporation

K

Performed Weddings

L

Performed Funerals

M

Performed Other Ceremonies

N

Support for Family & friends

O

No capacity yet

Question 27 of 34

What prompted you to seek chaplaincy certification at this stage of your journey?

Question 28 of 34

Chaplaincy often involves exposure to grief, trauma, loss, and crisis.
 What concerns or responsibilities do you feel most strongly about serving people in these spaces?

Question 29 of 34

What do you believe is the difference between being called to serve and being prepared to serve?

Question 30 of 34

Are you willing to receive instruction, correction, and formation as part of your preparation for chaplaincy?

A

Yes

B

No

Question 31 of 34

What areas of growth (spiritual, emotional, relational, or practical) are you currently aware of in yourself?

Question 32 of 34

Chaplaincy requires ethical boundaries and humility. How do you currently practice accountability in your life or ministry?

Question 33 of 34

This program requires consistent participation, reflection, and application.
 Are you prepared to commit to the full training and formation process?

A

Yes

B

No

Question 34 of 34

I understand that submitting this application does not guarantee acceptance into the cohort and that discernment is part of the process.

(Select all that apply)
A

I acknowledge and agree

Confirm and Submit