Submission form for Catholic Correctional Chaplain Certification materials

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.

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

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

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

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

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

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.

Upload your signed Ethics Accountability Statement for Initial Certification The form may be downloaded here: Ethics Accountability Statement for Initial Certification