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Chaplain Life Network Membership Application

Thank you for your interest in Chaplain Life Network (CLN), the official alumni and apostolic network of Life Training Academy.

Membership is reviewed for eligibility and alignment.

Please complete the form below in full.

Click the button below to start.

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SECTION 1: Personal Information

Personal Information

Question 2 of 18

Full Legal Name
 (As it should appear on your CLN Certificate)

Question 3 of 18

 

Email Address

Question 4 of 18

 

Mobile Phone Number

Question 5 of 18

 

City & State

Question 6 of 18

Country

SECTION 2: Certification Information

Certification Information

Question 8 of 18

 

Select Your Status:

A

Previously Certified Chaplain

B

LTA Certified Chaplain

C

Current LTA Chaplain Student (In Active Cohort)

Question 9 of 18

 

Year of Certification (if applicable or NA)

Question 10 of 18

 

Primary Area of Chaplain Service:

A

Hospital / Healthcare

B

Community / Outreach

C

Marketplace / Corporate

D

Prison / Correctional

E

Military

F

Church / Congregational

G

Other (please specify below)

Question 11 of 18

Primary Area of Chaplain Service Other (please specify):

SECTION 3: Alignment & Participation

Alignment & Participation

Question 13 of 18

Why are you seeking membership in the Chaplain Life Network?

Question 14 of 18

Are you willing to participate in at least one CLN learning session per quarter?

A

Yes

B

No

Question 15 of 18

Are you interested in future teaching or leadership opportunities within CLN?

A

Yes

B

Possibly

C

Not at this time

SECTION 4: Agreement

Chaplain Life Network Membership Covenant

 

As a member of Chaplain Life Network, I acknowledge that CLN operates as both an alumni network and an apostolic covering structure under Life Training Academy. I commit to maintaining ethical and professional conduct consistent with my certification, honoring doctrinal integrity, participating in continued formation, and engaging this community with respect, accountability, and alignment. I understand that membership is renewed annually and that continued access reflects my willingness to remain connected and committed to growth.

By submitting this application , you are agreeing to CLN Membership Covenant. If you do not agree, DO NOT proceed to submit this application.

Question 17 of 18

CLN Membership Commitment

By submitting this application, I acknowledge that:CLN operates as an alumni and apostolic network under Life Training Academy.Membership is renewed annually.Enrollment is valid for one full year.I agree to maintain ethical and professional conduct as a certified chaplain.

A

I agree to the above terms

B

I do not agree to the above terms

SECTION 5: Payment

Annual Membership Investment: $250

Membership is activated upon completed payment and confirmed eligibility.

You will receive an email acceptance or next steps typically within 5 - 7 business days.

 

Confirm and Submit