There has been a history of suspicion and distrust between organized psychology and religion for more than a century. The nexus of this strained relationship is played out in the context of accreditation, in which doctoral programs in Christian institutions have faced challenges in obtaining accreditation. Some of these challenges have related to freedom of religion, academic freedom, non-discrimination policies, and diversity training. Footnote 4 in the APA Accreditation Guidelines and Principles is designed to address these challenges, yet there is ongoing discussion about the implementation and use of this footnote. The relationship between the accrediting body and Christian programs has developed from deep suspicion to a working, but cautious relationship; yet, the future of this relationship remains uncertain. Over the past 40 years several doctoral programs in overtly Christian universities (mostly members of the Council of Christian Colleges and Universities--CCCU) have sought accreditation from the American Psychological Association (APA) for their doctoral programs in professional or clinical psychology. Although it is stigmatizing and rarely completely accurate to categorize institutions, for the most part these institutions could be described as evangelical Protestant in their theological orientation. These institutions include: Azusa Pacific University, Fuller School of Psychology at Fuller Theological Seminary, George Fox University, Regent University, Rosemead School of Psychology at Biola University, Seattle Pacific University, and Wheaton College.