11731 N. 15th Street
Tampa, Florida 33612
Board Certified Chaplain (BCC)
All applicants for BCC must be at least 30 years of age and have five years of Pastoral experience. All Pastor's are accepted into the program who are at 25 years of age and who desire to work toward the BCC certification. We will accept any volunteer Chaplain of any instution who has at least one yearof verifiable service (100 hours volunteer service by written letter).
experience as a volunteer Chaplain. Years or months of service with dates
B.____I have taken orientation or courses in Chaplain services (provide proof: letter from agency).
C.____I am a Pastor and desire Chaplaincy certification.
1. ____ I have attached a written account of my Pastoral experience (Include copy of ordination).
2. ____ I have attached a resume of my life, work and ministry experience.
3. ____ I wish to enroll in the Board Certified Chaplaincy Certification
CONSUMER PROTECTION NOTICE: APPLICANT HAS A RIGHT TO CANCEL THIS ENROLLMENT APPLICATION WITHIN THIRTY (30) BUSINESS DAYS WITH A FULL REFUND OF ALL TUITION PAYMENTS MADE. ALL CANCELATIONS SHALL BE BY CERTIFIED US MAIL AND THE POST MARK SHALL DETERMINE THE DATE OF CANCELATION. ATBC WILL REFUND ALL TUITION PAYMENTS IF THIS AGREEMENT IS CANCELED WITHIN 30 DAYS OF DATE OF APPLICATION. ENROLLMENT FEES ARE NON-REFUNDABLE. BOOKS RECEIVED AND THE COST THEREOF IS NOT REFUNDABLE. THIS IS TO CERTIFY THAT I , _______________________THE HEREIN NAMED APPLICANT HAVE READ AND ACCEPTED THIS CONSUMER PROTECTION NOTICE.
Print Name Signature Date
"Apostolic Theological Bible College . . . The Change Is Forever!"
Please email us after you send this application in.