American Correctional Chaplains Association
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If renewal only complete items below that have changed since your last application:
Name of Facility Agency
Preferred method for ACCA ‘Chaplain Clips’
Are you an ACCA Certified Chaplain?
Want to Renew or Apply for Certification?
Membership Category: Annual Dues
If paying by check, please make checks payable to
Remember that submitting the form does not create a membership ... be sure that you either use the PayPal option or mail your check today to our Membership Treasurer.