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Home » Certification » Submission form for Certification materials

Submission form for Certification materials

IMPORTANT

If you have NOT been approved to move forward with applying for NACC certification, do not use this form. Instead refer to this page to check your eligibility for certification, then use the provided contact information to contact our Certification Specialist: Prerequisites for Certification Application.


Click here for instructions and FAQ about using this form

Initial Certification Binder online submission form
  • MM slash DD slash YYYY
  • Accepted file types: pdf, docx, doc, jpg, png, jpeg, tiff, Max. file size: 256 MB.
    Add your completed and signed Application for Initial Certification here. Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff

    ¹Tab numbers correspond to the Checklist for Supportive Materials Required for Certification Interview located here.
  • Accepted file types: pdf, doc, docx, jpg, jpeg, png, tiff, Max. file size: 256 MB.
    Not to exceed seven (7) pages, addressing personal, professional, and faith development (CP131.3b). Autobiography must be formatted in single-spaced, 12 point type (Arial, Garamond, or Times New Roman), with one inch margins. Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff
  • Accepted file types: pdf, doc, docx, jpg, jpeg, png, tiff, Max. file size: 256 MB.
    Add your Spiritual Care Encounter with Cover Sheet here. This is an instructional cover sheet to be included with your Spiritual Care Encounter in Tab 3 of your Certification Application Binder. One current example of your provision of Spiritual Care utilizing the Spiritual Care Encounter Cover Sheet with numbered pages (minimum of five (5) pages, maximum of ten (10) pages). Current is defined as within one (1) year of application for certification. The Spiritual Care Encounter should include the Cover Sheet and follow the instructions as set forth in the Cover Sheet. It will address, at minimum, the following Competencies ITP2, PPS10 and PPS11 (CP131.3c). Autobiography must be formatted in single-spaced, 12 point type (Arial, Garamond, or Times New Roman), with one inch margins. Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff
  • Drop files here or
    Accepted file types: pdf, doc, docx, jpg, jpeg, png, tiff, Max. file size: 256 MB, Max. files: 2.
      Final evaluations by Applicant of the final CPE Unit and one other CPE Unit of the Applicant’s choice which demonstrates the Applicant’s ability and willingness to grow as a professional chaplain. Each evaluation is to be clearly dated and separated with a blank tab or a colored page (CP131.3d).
      ♦ Any unit of the Applicant’s choice
      ♦ Last unit

      Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff
    • Drop files here or
      Accepted file types: pdf, doc, docx, jpg, jpeg, png, tiff, Max. file size: 256 MB, Max. files: 2.
        Final evaluations by the Certified Educator of the final CPE Unit and corresponding CPE Unit evaluation of the Applicant’s choice as referenced in Tab 4. Each evaluation is to be clearly dated, signed, and separated by a blank tab or a colored page. The CPE Supervisor and Applicant must have signed and dated the evaluations (CP131.3e).
        ♦ Corresponding unit of the Applicant’s choice from Tab 4
        ♦ Last unit

        Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff
      • Accepted file types: pdf, doc, docx, jpg, jpeg, png, tiff, Max. file size: 256 MB.
        Please add your Narrative I Statement for NACC-Specific Competencies.

        Not to exceed three (3) pages, documenting how the Applicant meets each of the NACC-Specific Competencies required for certification (excluding ITP2.1 which will be assessed through the Integrative Theological Narrative and ITP4.1 which will be assessed through an e-learning module) (CP131.3f). Applicant must utilize the Narrative Statement I Template and retain the headings which list each Competency’s alphanumeric label and description (131.3f1). If this is not the Applicant’s first interview for certification, an additional page must be included addressing how the Applicant has grown in the Competencies that were recommended from the Presenter’s Report Part II from each previous interview. Separate with a blank tab or colored page (CP131.3f2). See Narrative Statement I Writing Guide and Template.

        Must be formatted in single-spaced, 12 point type (Arial, Garamond, or Times New Roman), with one inch margins.

        Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff
      • Accepted file types: pdf, doc, docx, jpg, jpeg, png, tiff, Max. file size: 256 MB.
        Please add your Narrative Statement II for NACC-Specific Competencies.

        Narrative Statement II, not to exceed ten (10) pages, documenting how the Applicant meets each of the Common Competencies required for certification (excluding PIC8 & PIC9 which will be assessed through materials and within the interview) (CP131.3g). Applicant must utilize the Narrative Statement II Template and retain the headings which list each Competency’s alphanumeric label and description (CP131.g1). If this is not the Applicant’s first interview for certification, an additional page must be included addressing how the Applicant has grown in the Competencies that were recommended from the Presenter’s Report Part II from each previous interview. Separate with a blank tab or colored page (CP131.3g2). See Narrative Statement II Writing Guide and Template.



        Must be formatted in single-spaced, 12 point type (Arial, Garamond, or Times New Roman), with one inch margins.

        Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff
      • Accepted file types: pdf, doc, docx, tiff, png, jpg, jpeg, Max. file size: 256 MB.
        This item is for VA Certification applicants only. Other applicants may proceed to the next item. Narrative Statement III, not to exceed three (3) pages, documenting how the Applicant meets each of the NACC Veterans Affairs Specific Competencies required for certification. Applicant must utilize the Narrative Statement III Template and retain the headings which list each Competency’s alphanumeric label and description. (13.31.3h1) If this is not the Applicant’s first interview for certification, an additional page must be included addressing how the Applicant has grown in the Competencies that were not met as outlined in the Presenter’s Report Part II from each previous interview. (13.31.3h2) Must be formatted in single-spaced, 12 point type (Arial, Garamond, or Times New Roman), with one inch margins. Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff
      • Accepted file types: pdf, doc, docx, jpg, jpeg, png, tiff, Max. file size: 256 MB.
        Integrative Theological Essay (Competency ITP2.1), not to exceed three (3) pages in length, addressing the Applicant’s familiarity with the documents and theologies of the competency, including ministerial examples demonstrating how the theologies have enhanced the Applicant’s practice of spiritual care (CP131.3h).
        See Integrative Theological Essay ITP2.1 Writing Guide.

        Must be formatted in single-spaced, 12 point type (Arial, Garamond, or Times New Roman), with one inch margins.

        Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff
      • Accepted file types: pdf, doc, docx, jpg, jpeg, png, tiff, Max. file size: 256 MB.
        If applicable, letter from the Certification Commission granting equivalency for one (1) unit of CPE. If not applicable, keep this tab empty (CP131.3i).

        Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff
      • Accepted file types: pdf, doc, docx, jpg, jpeg, png, tiff, Max. file size: 256 MB.
        If applicable, Presenter’s Report Part I from each previous interview. If not applicable, keep this tab empty (CP131.3j).

        Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff
      • Accepted file types: pdf, doc, docx, jpg, jpeg, png, tiff, Max. file size: 256 MB.
        If applicable, Presenter’s Report Part II from each previous interview. If not applicable, keep this tab empty (CP131.3j).

        Acceptable file formats: PDF, doc, docx, jpg, jpeg, png, tiff
      • Hidden
        Certification Application Fee ($395 in U.S. Currency), two-thirds of which is non-refundable if the process is discontinued for any reason. Include a check made out to NACC or a request to pay by credit card. *NOTE: If an Applicant requests to pay by credit card, an invoice will be generated at the time of binder application review and emailed to the Applicant for payment (CP131.3k).
      • Accepted file types: pdf, doc, docx, Max. file size: 256 MB.
        Upload your Certificate of completion of e-learning module and post-test on NACC-Specific Competency ITP4.1 (131.3n). See instruction sheet for Required eLearning Module and Post-Test for NACC Competency ITP4.1.
      • Accepted file types: docx, doc, jpg, gif, png, pdf, tiff, Max. file size: 256 MB.
        Upload your signed Ethics Accountability Statement for Initial Certification The form may be downloaded here: Ethics Accountability Statement for Initial Certification
        By checking the box above labeled "I agree," I acknowledge that I am the person indicated above and that these Materials are being submitted as part of my application for chaplain certification with the National Association of Catholic Chaplains.

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