To request an extension for your Renewal of Certification, please fill out the form below.
To avoid a lapse in certification, associate chaplains/chaplains/educators due to renew their certification in 2023 must submit the extension request by 12/31/2023.
Note: For 2023, the first renewal of certification extension fee is $100. The second renewal of certification extension fee is $200.
Renewal of Certification Extension Request
To be filled out by those members seeking an extension for their Renewal of Certification deadline.