Chaplaincy Innovation Lab Subscription Form
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Optional information
Providing the information below helps us better understand our community and the state of professional chaplaincy today.
All fields below are entirely optional.
How would you describe your primary participation in the profession of spiritual care?
Please select...
I’m a staff chaplain.
I’m a volunteer chaplain.
I’m a chaplaincy administrator.
I’m in an academic program pursuing chaplaincy.
I’m in CPE.
I’m a classroom educator.
I’m a chaplaincy researcher.
What is your work schedule as a chaplain?
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I’m employed full time as a chaplain.
I’m employed part time as a chaplain.
I’m employed as a chaplain on a per diem or PRN basis.
Where are you employed?
Would you like us to contact your employer about an Organizational Partnership with the Chaplaincy Innovation Lab?
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At which institution are you studying, and what kind of program are you in (e.g., certificate, MDiv, etc.)?
What is your highest level of education, whether in chaplaincy or otherwise?
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High school
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Which, if any, of the following credentials do you hold, regardless of where you obtained or maintain them?
Board certification
Chaplain educator certification
What are your pronouns?
What is your religious, spiritual, or philosophical self-identification?
Which professional memberships, if any, do you hold?
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Subscription Fee
Subscription Type:
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Select your subscription level:
“Innovator” level subscription, active for one year - $180
“Supporter” level subscription, active for one year - $148
Student or Retiree “Supporter” level subscription, active for one year - $52
Student or Retiree “Innovator” level subscription, active for one year - $84
Please enter the name of your degree-granting institution, your CPE program, or your general date of retirement (e.g., month and year).
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