Chaplains Program Participation

Name(Required)

First Last

College or University:(Required)

Title(Required)

Primary email address(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Demographic Information

Providing this information is voluntary and will not affect your application. The data collected will be used for statistical and diversity purposes only in our reporting to Lilly Endowment.

Age Range

18 – 24

25 – 34

35 – 44

45 – 54

55 – 64

65 or older

Prefer not to say

Gender Identity

Male

Female

Non-binary / Third Gender

Prefer not to say

Other

Preferred Pronouns

Race/Ethnicity

Asian

Black or African American

Hispanic or Latino

Native American or Alaska Native

White

Two or more races

Prefer not to say

Will you require any accommodations to fully participate in the program?

Yes (Please describe your needs below)

Logistical and Experiential Information:

Program cycle for which you would like to be considered:(Required)

Summer 2025

If you cannot be accommodated for the Summer 2025 cycle, would you like to be considered for the Summer 2026 cycle?(Required)

Yes

Seminary from which you graduated(Required)

Year of graduation from Seminary:(Required)

Please describe/summarize your ministry experience prior to serving as a college chaplain:(Required)

Years of service as a college chaplain:(Required)

1 to 3

4 to 7

8 or more

Which of these topics interest you? (choose all that apply)

Vocational discernment/clarity

Student Formation

Interfaith Understanding/Appreciation

Self-Care and Boundary management

Personal and Professional Perspectives

Information captured here will be critical in helping to shape the composition of the cohort as well as planning the program design for cohort members. It will be shared ONLY with APCU and PTS staff responsible for the program implementation. Thank you.

Describe your primary responsibilities in your current position. If you have a job description, please upload it.(Required)

Position Description (optional)

Max. file size: 100 MB.

Describe your philosophy of campus ministry with a focus on: 1) Different faith traditions and “non-believers”; 2) Student beliefs or values that conflict with their peers or the institution; and 3) Interfaith dialogue and initiatives on campus.(Required)

Describe how you've demonstrated the value of your work with the campus community–including students, faculty, and administrators.(Required)

In your opinion, what are the most important qualities required to be an effective college chaplain, and are you currently demonstrating these qualities in your work? If not, why?(Required)

Describe what you hope to achieve from participation in this program and what you hope to contribute to it.(Required)

Video Submission

Max. file size: 100 MB.

In addition to the application, you are encouraged to submit a brief 2-3 minute video through which you address the following items: 1) What led you to becoming a Chaplain in higher education? 2) Describe a significant experience that has influenced your sense of calling to chaplaincy. 3) Describe any previous experience in spiritual care or pastoral roles (e.g., internships, counseling, volunteer work). 4) What do you believe is the role of a chaplain in a diverse college community?

This field is for validation purposes and should be left unchanged.

Chaplains Program Participation

Program Information Form