Certificate Application

Certificate Application Form

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Name *

Email *

Phone *

Address *

City *

State/Province *

Zip / Post Code *

Country *

Church Name *

I am submitting this application for Care & Discipleship level: *

Level 1
Level 2
Level 3 (Observation)

$75 Application Fee *

I have paid via application product online (preferred)
I am mailing a check

I have completed the required videos and reading *

I have submitted the required level exam *

Yes (via email to cdc@ibcd.org)

(For Level 3 Observation only)

I have submitted the Reading Response Paper
I have submitted the Observation Log and Reflection Paper

Elective 1 - Message Title *

Elective 2 - Message Title *

Elective 3 - Message Title *

Name to print on certificate *

Pay Application Fee

Before filling out and submitting the form on the left, please pay the corresponding application fee.

Select which level you are applying for:

IBCD is a BCC Partner

Find a Counselor

IBCD is passionate about one another care. We believe this happens within the context of the local church, and that pastors are the shepherds entrusted with soul care (1 Pet 5:1-4; Heb 13:17). The qualified counselors on staff at IBCD focus on strengthening the church by producing high-quality resources and training materials. We do not provide counsel. If you are seeking counseling outside of your local church we encourage you to visit the listing at The Biblical Counseling Coalition.