Home / Certification / Palliative Care and Hospice Advanced Certification (PCHAC) / Submit PCHAC Application

Submit PCHAC Application

Instructions

Prior to uploading your documents, applicants must

  1. Verify their Member Profile information, and
  2. Submit payment or request to be billed.

 

To verify Member Profile Information:

  • Use the Member Portal Login button at the top right of your screen to login into your member profile. Once logged in, click Edit this profile in the blue header.
    • Click on General Information to verify your address, phone, and email. Make any changes as appropriate.
    • Click on Update Preferences to verify your Diocese of Ministry. If this designation is incorrect, uncheck the old and check the new.
  • Save your changes and use the BACK ARROW in your browser to return to this upload form.

To submit payment:

  • The PCHAC Application fee is $425.
  • Click the button below to submit payment or request to be billed.
  • Return to this upload form and upload your application documents.
Submit Payment

Upload Documents

  • Please be sure that all your application components have been scanned into one PDF document and formatted according to the instructions in the instruction booklet.
  • You will need your NACC member number to complete the upload.
  • Upon successful upload, you will receive a SUCCESS message. If your submission is incomplete, you will be prompted to fix the errors.

PCHAC Upload Form

MM slash DD slash YYYY

Name(Required)

Email(Required)

All the application components scanned into one PDF file according to the instructions in the instruction booklet.
Accepted file types: pdf, Max. file size: 300 MB.

Acknowledgment(Required)
By checking the box 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 Renewal of Certification with the National Association of Catholic Chaplains.
This field is for validation purposes and should be left unchanged.