Enrollment Application

Complete the application below. Your information is submitted directly to the F.R.C.A. Institute admissions system.

Protected Application$55.00 Enrollment FeeSecure Payment

Enrollment Application

Complete this application to be considered for admission to F.R.C.A. Institute of Chaplaincy.

Required non-refundable application fee: $55.00

1. Applicant Information

First Name

Last Name

Email Address

Phone Number

Mailing Address

2. Education

Highest Level of Education

School / Institution

Additional Education, Training, or Certifications

3. Ministry / Chaplaincy Background

Current Church / Ministry / Organization

Pastor / Supervisor

Describe your ministry, chaplaincy, first responder, or related experience

4. Program Interest

Program / Course of Interest

Why do you want to study at F.R.C.A. Institute of Chaplaincy?

How did you hear about us?

5. Certification & Security

I certify that the information provided in this application is true and complete to the best of my knowledge.

Human verification: What is 2 + 2?

Application Fee Due: $55.00
Submitting this form saves your application. Admission review will begin only after the required Stripe application fee is successfully verified.