The 911 Chaplain Academy Application

The 911 Chaplain Academy Application

Application Processing Fee is $50. Fall Term will begin in August 2026 and culminate in an in-person intensive in Atlanta, Georgia. Classes are 10 weeks with live Zoom classes will be held each week, with all sessions and materials also available anytime through our online learning portal.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name

First NameLast Name
Email
Please Use Personal Email.
Agency Name
(if applicable)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
911 chaplaincy is a unique calling that requires compassion, resilience, and a heart for service. Please describe your call to this work. What experiences, moments, or convictions led you to pursue chaplaincy in the 911 environment? How do you see yourself serving in this role?
Reference 1
This should be a faith leader who is willing to write a recommendation on your behalf. ( If you aren't a member of a faith community, this should be someone who can vouch for your capacity to serve.)
Applicant Photo

Optional headshot/photo for internal directory, cohort recognition, and graduation materials.
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Faith Leader Email
Use Personal Emails Only
Reference 2
This should be a former or current supervisor who is willing to write a recommendation on your behalf.
Current or Former Supervisor Email
Use Personal Emails Only
Reference 3
This should be a former or current co-worker or trainee who is willing to write a recommendation on your behalf.
Former or Current CoWorker Email
Use Personal Emails Only

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Nonrefundable Application Fee

Tuition is $1000 for Agency Pay. Self Pay gets a 20% discount.

Payment Plans and Limited Scholarships will be available.

$50.00 Quantity

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Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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The 911 Chaplain Academy Application

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