Tricity Resource Center
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Cashapp/Givelify
Contact Request
Registration Open Now
Chaplaincy Class Erollment
Completely fill out the information below.
Name
Email
Phone
Address
Line 1
Line 2
City
State
ZIP code
Country
Are you signing up for Online or In-person classes?
Online
In-Person
Have you previously served as a chaplain?
Yes
No
Describe any ministry or volunteer work you have done.
Ministry/Church Affiliation (if any)
Why do you want to become a chaplain? (Short paragraph please)
Highest level of education completed.
Areas of interest
Hospitals
Prisons
Disaster Relief
Community Outreach
Military
Have you ever been convicted of a felony? (Yes/No — If yes, explain)
Do you consent to a background check? (The fee is 35$)
Yes
No
Are you able to commit to the full course duration?
Yes
No
Tuition is $400. Choose your preferred payment method.
If paying the full tuition at once isn’t possible, no worries, we have other flexible payment options available for you to choose from.
Please provide contact information for at least two current pastors or ministry leaders who directly oversee you. Include each person’s full name, phone number, and email address.
Comments/Remarks
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