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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 hours of submitting a complete 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 30

First Name (As it should appear on your credentials)

Question 2 of 30

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

Question 3 of 30

Last Name (As it should appear on your credentials)

Question 4 of 30

Gender

A

Male

B

Female

Question 5 of 30

Birthdate (MM / DD / YYYY)

Question 6 of 30

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 30

Email  (You may receive communications from us)

Question 8 of 30

Phone Number  (You may receive communications from us)

Question 9 of 30

Address Street | City | State | Zip Code (Required to receive your class materials and some credentials)

Question 10 of 30

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 30

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 12 of 30

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

Question 13 of 30

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 30

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

Question 15 of 30

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

A

Yes

B

No

Question 16 of 30

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

Question 17 of 30

If married, will your spouse be attending this Chaplaincy Certification Program? (You may qualify for a scholarship)

A

Yes

B

No

Question 18 of 30

Do you have any family members of your household attending this program with you? If yes, list their First & Last names below. (You may qualify for a scholarship)

Question 19 of 30

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

Question 20 of 30

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

A

Yes

B

No

Question 21 of 30

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 22 of 30

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 23 of 30

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

Question 24 of 30

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

Question 25 of 30

Please describe your ministry, volunteer or community experience.

Question 26 of 30

In what capacity do you plan to use your certification and training?

Question 27 of 30

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 28 of 30

Would you like to stay connected in a community of Chaplains and like minded Spiritual Leaders?

A

Yes

B

No

Question 29 of 30

Would you like to receive information that may help you grow in your Chaplaincy endeavors?

A

Yes

B

No

Question 30 of 30

Last thing!

To share awareness about our Academy, we often do special promotions and advertisements. This sometimes includes the use of student photos or names. If you are accepted into the program, we ask for your official consent AND support. 

 

Copy and paste this link to give your consent (LTA Media Release Form) https://docs.google.com/forms/d/e/1FAIpQLSc8egGFnkp4fsdcnJaMOMf0rzWektwawFMXSrT5CvpdTiG7yQ/viewform?usp=sharing 

A

Yes, I will consent to support!

B

No, I neither consent nor support!

C

Maybe Later!

Confirm and Submit