Spiritual Care Professionals - Please fill in the form below
This form is for New Spiritual Care Professionals only. Once you submit your application, you will receive an email request for a copy of your relevant certifications or educational degrees, licenses, or affiliations and a photo for your professional profile page.
If your registration has expired, we still have your information in our database, so you only need to renew to make it active again. There is no need to re-enter your entire profile.
Please note the form has a security timeout of 2 hours to prevent hackers from submitting garbage from other sites. If you see a "CSRF Error", the form has timed out. Please copy your responses to a separate location, such as Notes application, reload the page and copy the contents back in.
You will be redirected to PayPal for your payment after submitting the form.