Thank you for your interest in the American Association of Pastoral Counselors! So that we may better serve you, please use this form to tell us about yourself and your reason for writing. We will route your inquiry to the appropriate staff member and respond as quickly as possible.

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TITLE First Name MI Last Name SUFFIX Address ADDRESS2 City State   Zip or Postcode     Country Phone # (Daytime) E-mail      FAX

Please check the box below that applies to you:   I would like to consult a Certified Pastoral Counselor for counseling or psychotherapy. (Note: You can click here to find a pastoral counselor near you.)   I am not interested in membership at this time, but I would like to know more, generally, about the work of the American Association of Pastoral Counselors. (Note: Information is also available on our website, starting here.)   I am a pastor/rabbi/imam/lama in congregational ministry, and I would like to learn how to improve my pastoral care skills to better serve my congregation.   I am a volunteer pastoral caregiver serving in a congregation (and/or) human service institution and would like to learn how to improve my pastoral care skills.   I would like to explore a vocation as a Certified Pastoral Counselor. Please tell me where to start and how I can get the required training. (Note: AAPC-accredited Training Programs are listed on our website, here.) Please click the button that applies to you: I am an ordained pastor/rabbi/imam. I am a Layperson who provides pastoral care. I am in seminary preparing for ordination. I am a licensed/credentialed mental health professional. I am a student preparing for licensing as a mental health professional. Other   APPLICATION REQUEST: Applications can be printed directly from this web page. Click here to go to the Membership Applications. I have read the requirements for membership in AAPC; please send me the membership application for the following membership category: Please click the button that applies to you. If you are not certain which membership category to choose, please click here to read the descriptions. Certified Pastoral Counselor Certified Pastoral Counselor: Fellow, AAPC track Certified Pastoral Counselor: Fellow, Mental Health Disciplines track Pastoral Counseling Educator Pastoral Care Specialist (I am a pastor/rabbi/imam/lama) Member (I am a pastor/rabbi/imam/lama) Member (I am a credentialed human service professional) Member (I am a pastoral counselor in training)     If you are not certain which membership category is appropriate for you, please read the membership requirements before completing this form, or call us at (703) 385-6967.   You may write explanations or questions in this space: