The Chaplaincy Institute of Maine (ChIME) will not discriminate based on race, color, national origin, religion, sex, marital status, beliefs, age, gender identity, sexual orientation or physical or mental disability.

The application form needs to be completed in one sitting. You may wish to draft your responses in a separate document and copy and paste them into this form.

If you’d prefer to print and mail your application, please contact our Dean, Lisa at lisa@chimeofmaine.org

Name *

First Name

Last Name

Email Address *

Mailing Address: *

Phone *

(###)

###

####

Weekly Cohort Structure *

Which weekly class structure would you prefer?

On Zoom

In-Person

Uncertain

Monthly Workshop Structure *

Which workshop format will you complete most of the time - in-person monthly workshops or self-paced online workshops (AWEs)?

Asynchronous Workshop Experience (AWE)

In-Person Workshop

Uncertain

Spiritual / Religious / Church Affiliation and/or Spiritual Practice: *

Education: *

Occupation or Employer: *

Volunteer / Service Experience: *

Family: *

How did you learn about ChIME? *

Recent major life changes: *

What are your hopes/goals for your ChIME experience? *

Essay: *

Please write a one-page spiritual autobiography describing your first experience of the divine and how you express your divine nature these days.

Tuition: *

Community Supported Tuition allows you to chose a tier that recognizes and honors your commitment and your financial capacity. Regardless of which tier you choose, how do you plan to pay the tuition? *Please note: Payment plans are available. Tuition is subject to change. Tuition does not include costs of books.

References: *

Please list the names, email addresses, and phone numbers of two people who will write a letter of reference for you. ChIME will also contact these references by phone after the first interview:

Contact References *

Please contact the two individuals listed above and ask them to send a letter of reference by email to Lisa Steele-Maley, Dean, at lisa@chimeofmaine.org. Their letter should speak to their understanding of what makes the ChIME program a good fit for you. Have you contacted your references?

Yes, I have already contacted my two references and they are emailing their letters of reference.

I will contact my references as soon as possible.

Application Fee: *

Please submit your $50 application fee. You may mail a check to Chaplaincy Institute of Maine, PO Box 3833, Portland, ME 04104 OR use the donate button on our website and indicate in the notes it's for an application fee. Have you submitted your application fee?

Yes, I have already sent in my $50 application fee.

I will send in my $50 application fee as soon as possible.

Interview:

The first of two interviews will be scheduled after we have received your completed application in its entirety - including the application form, essay, two letters of reference, and your $50 application fee. What are the best days/times for you for an interview?

Thank you! You will receive a confirmation that your submission was received within 2 days.

Still not sure? Contact us to ask your questions and start a conversation.

I have a question