International Chaplaincy Network RTIM

Chaplain Application Form

Join the International Chaplaincy Network – RTIM and serve with compassion, integrity, and faith.
Please complete this form to apply for chaplaincy training and certification.
Our admissions team will review your application and contact you soon.

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Name *

First

Last

Email *

Phone Number

Country & City

Area of Interest

• Hospital & Clinical
• Correctional & Reentry
• Schools & Universities
• Corporate / Workplace
• Missions & Disaster Response

/ Code Why

Address

Ministry / Chaplaincy Experience

(Brief description of previous ministry or service experience)

Faith & Motivation Statement

(Why do you want to join? Share your testimony and calling to chaplaincy.)

Pastoral / Organizational Reference

(Name, church/organization, and contact information)

Why do you want to join?

Comment or Message

Agreement to Confidentiality & Code of Conduct

• I agree to RTIM’s confidentiality, ethics, and professional boundaries.

Consent

• I consent to ICN RTIM storing and reviewing my information for chaplaincy admissions.

Submit