4410 Box Canyon Drive
Temple, TX 76502-3263
BASIC CHAPLAIN MEMBERSHIP
Print clearly or type your information! Please read everything on this application form carefully. Documents will be sent to the address you list below, please make sure you list the address where you want your documents to be sent
must be mailed.
Cannot be sent by e-mail or fax.
This application must be printed in Landscape format. Please type or print clearly, if you have an address label you may want to stick it on this application
Becoming a licensed or ordained chaplain and minister is not a trivial matter. It represents the setting apart by God of an individual for ministry.
Name: ____________________________ Middle initial: ________ Last Name: _______________________________
City: _________________________________________ State: _________________ Zip Code: __________________
Home Phone: (____) _______________________________ Work Phone: (___)_______________________________
E-mail Address: _________________________________________________________________________________
Date of Birth: _____________________________ Age: ___________________ Sex: __________________________
Marital Status: [ ] Single [ ] Married [ ] Divorced [ ] Remarried [ ] Other
Hair Color: __________________ Eye Color: _____________________ Height: _____________
Current Driver License or State ID #: ____________________________ State: ____________________
Are you a legal US resident, or US, Canadian or British Citizen? Yes: _____ No: _______ If the answer is no your application will not be approved
Are you now or have you ever been a member of any organization that support racism? [ ] NO [ ] Yes
Veteran: [ ] Yes [ ] No - Branch: ___________________ Your Present Occupation: _____________________________
Are you credentialed for ministry? [ ] NO [ ] Yes [ ] Licensed [ ] Ordained [ ] Commissioned
If yes? Who with: ___________________________________________________________________
Did a member recommend you: Yes ___________ No: ___________
If yes? Member's Name: ____________________________________ Member's ID#: ________________________________
PLEASE READ EVERYTHING ON THIS APPLICATION CAREFULLY
Document Quality and Security: All documents are produced by commercial laser jet printers for the highest quality. We use parchment paper for all our documents, not card stock, or redesigned certificates. Our ID Cards are 30 mill PVC "Plastic" cards with holograph seals of authenticity, security bar codes, and an overlay to protect your card. ID cards are produced with commercial ID equipment owned by CFMI which protects your personal information from identity theft . Your personal information is kept in locked file cabinets at all times. It never leaves our office for any reason. We do not trade, share, lease or sell our member's personal information to anyone for any reason.
Criminal Background Check: CFMI runs backgrounmd checks on all applicants. Have you ever been convicted of a felony? [ ] Yes [ ] No - If yes please explain on a separate sheet of paper and include any legal documents detailing your conviction. Chaplain Fellowship does background checks on all applicants. This does not mean you will not be approved! We are very understanding, many of us have been broken and have had our own problems. That is why most of us know what it means to say we walk the walk!
Read Carefully: Make sure you read this application very carefully before signing. No application will be considered or processed without this application being completely filled out, signed, dated and all required documents submitted. Please be sure to provide the following with your application. No application will be processed unless the following requirements are complete: All memberships and ID cards must be renewed each year on or before the renewal date located on your membership certificate and ID Card.
1. Resume: Please tell us anything you feel that would help us understand your need to become a member of Chaplain Fellowship Ministries. We are recruiting people that know how to walk the walk, so we are very understanding to your calling. We are looking for those who have been there and know how to give from the heart for the Glory of God kingdom, Not man.
2. Documents and ministerial experience: Include all degrees, certificates of completion and certification and any other documents showing years of service and ministry experience.
3. Two Passport Photos: Not a copy of your passport or scanned photos. Passport photos must have a white background, nothing else will be accepted, membership will not be approved unless this requirement have been fulfilled.
4. Character Reference Letters: Four letters from people who know your character, CANNOT be family members. Character reference letters must have contact information on for each reference. "E-mail and phone" References will be checked!
5. Photocopy of Current drivers license: Identification must be verified, forward with your application a photocopy of your Current driver's license.
BASIC CHAPLAIN MEMBERSHIP PROCESSING FEE IS $145.00: This is a one time processing fee. Basic Chaplain membership include the items listed below. New membership packages may take up to 2 to 3 weeks for delivery once application has been received and approved. All applicants for membership must pass a background check. Processing Fee also covers applicants background check. Applicants applying for Basic Chaplain Membership are required to complete the CBI Ordination courses. The courses consist of the Old Testament and New Testament. These courses are provided by a download link sent to you once membership has been processed, these courses are in pdf file format. These two courses are FREE and provided as part of the Basic Chaplain membership package. Membership and ID cards must be renewed each year on or before the renewal date located on your membership certificate and ID Card. Membership and ID card renewal few is $65.00 a year, all your documents and ID cards will be replaced at the time of renewal. Ministry partners membership are renewed each year at no cost.
1. Ministry Membership Certificate
2. Ministry Ordination Certificate
3. Ministry License Certificate
4. Chaplain's Ministry Photo ID card (PVC ID Cards with 25 holograph seals of authenticity, security bar code with your name encoded into it and overlay. Basic Chaplains do not receive the ID cards with the Magnetic strip on back"
5. Ministry Ordination courses and exam - Bible courses required for ordination - the Old Testament, New Testament, ( These Courses will be sent by e-mail for downloading
6. Access to ministry bibles courses and certification courses
7. Access to ministry Badges, Decals, Patches and other ministry items.
Ministry Partners are Members who make a $25.00 a month pledge of support for the stability and advancement of the ministry. Thereby acknowledging that no faith based institution or ministry can stand or be of full service unless all members accept some responsibility for the welfare of the ministry. Ministry partner's who keep their pledge will have their membership automatically renewed the following year. Ministry Partners only have to pay a $25.00 exam fee for the course of instruction we offer as long as their membership in good standing. Ministry Partners also receive discounts on ministry supplies from our web site. NOTE: Discounts only apply for items requested through our web site. Discounts do not apply for orders placed through Cafe Press, as they are an independant company.
I want to be a ministry partner: I am making a monthly pledge of [ ] $25.00 [ ] $30.00 [ ] $35.00 [ ] $45.00 [ ] $55.00 [ ] $100.00 [ ] $200.00 [ ] $300.00 [ ] $400.00 [ ] $500.00 for the stability and advancement of Chaplain Fellowship Ministries.
Your monthly support no matter how small will be a blessing, it will help Chaplain Fellowship Ministries reach our yearly operating budget for the stability of the ministry.
(a) I am making a monthly pledge of: [ ] $10.00 [ ] $15.00 [ ] $20.00 [ ] $25.00 [ ] $30.00 [ ] $35.00 [ ] $45.00 [ ] $55.00 [ ] $100.00 [ ] $200.00 [ ] $300.00 [ ] $400.00 [ ] $500.00 for the stability of the ministry.
(b) I making a one Time Donation of: [ ] $25.00 [ ] $45.00 [ ] $55.00 [ ] $65.00 [ ] $75.00 [ ] $100.00 [ ] $200.00 [ ] $300.00 [ ] $400.00 [ ] $500.00 for the stability of the ministry.
I understand that my membership with Chaplain Fellowship Ministries does not give me the rights to state or federal tax exemption. FurthermoreI understand that as a member of Chaplain Fellowship Ministries it is my responsibility to download and study the member's code of ethics from the member's area. I also hereby give my authorization to Chaplain Fellowship Ministries to run a criminal background check on my person at any time my actions or Character may come into question. I understand that Chaplain Fellowship Ministries does not employ or guarantee employment to any member, chaplain, or minister.
Signature Is Required: ______________________________________________________ (Required)
Personal information is not published, sold or given to outsiders: All personal information given is strictly confidential; it is only used for confirmation of your endorsement and certification which is logged in our legally licensed membership ledger and recorded for duly authorized ministry verification purposes only. Any alterations to this form will cause it to be void and application will not be considered. In the event that an applicant is not approved, the applicants processing fee will be returned to them in full. All documents including the application for membership are the the property of Chaplain Fellowship Ministries.
Chaplain Fellowship Ministries Holds all Members Accountable For Their Action - Without Accountability There Is No Credibility
Unscriptural conduct, failure to maintain membership requirements in good standing, or doctrinal departure from the tenets of faith, shall be considered sufficient grounds upon which any member may be disqualified and removed as a member of Chaplain Fellowship Ministries. Such discipline shall be prayerfully administered according to Scriptures by the governing board of directors (Matt. 18:15-17; Rom. 16:17; 1 Cor. 5:9-13; 2 Thess. 3:6). Members agree to the following: If any member is ever charged with a criminal act/sexual misconduct or assault, ethical misconduct "Conduct unbecoming of a chaplain or minister" that this document authorizes their employer or volunteer chaplaincy organization to release all information to Chaplain Fellowship Ministries or their designated investigating agency.
I hereby certify that the above information is true to the best of my knowledge. I understand that Chaplain Fellowship Ministries or affiliate ministries will be relying upon this information to grant me approval regarding ordination, license and endorsement. I acknowledge that any significant and material misstatements made by me will be just cause to deny membership, license, ordination or endorsement. Should any of my responses to these statements change I will immediately notify the home office of Chaplain Fellowship ministries. Every member of Chaplain Fellowship Ministries must agree to commit themselves to the responsibility of living within the established standards of the agreement within this application for membership. When a member fails to meet the responsibilities upon which they have agreed, then there is a need to hold the individual accountable. The purpose for accountability and discipline is to provide an opportunity for understanding, personal growth, and development. We believe that all members should want to help build up the Lords' ministry by recruiting new members, thereby acknowledging that no institution can stand or be of full service unless all members accept some responsibility for the welfare of the ministry. It is our prayer and hope that you as a new member will feel the same and consider helping us in the mission and vision the Lord has given us.
Signature Is Required: _________________________________________________ (Required)
DONATION OPTIONS! PLEASE READ CAREFULLY!
Checks or Money Orders: All donations must be in US funds. Make payable to: Chaplain Fellowship Ministries, Mail your completed application with your check or money order to the address at the top of this page. Checks must clear our bank before documents will be processed. New membership packages may take up to 2 to 3 weeks for delivery once received and approved.
Major Credit Cards: You can make your donation using your major credit card by clicking on the Donation button below. There will be a $3.00 credit card processing fee added to the total amount. Mail your completed application to to the address at the top of this page after you make your donation. New membership packages may take up to 2 to 3 weeks for delivery once received in our office. Application must be sent in for processing within 30 Days from the date your donation was made through PayPal.
God bless you, and Thank You! Click here to return to the options page!
FOR OFFICIAL OFFICE USE ONLY
Date Application was received: _________________
Date Application was reviewed: _________________
Date vote was taken: _________________________
Approved on: _______________________________
Disapproved on: ____________________________
Member's ID No: ______________________________
Signatures of Senior Staff Members reviewing application.
Chaplain Fellowship Ministries is a faith based Christ centered, Christ rooted Ministry legally incorporated as a Nonprofit public charity with Chaplains and Ministers serving Nationwide. The information required within this application shall be subject to change without notice. Chaplain Fellowship Ministries reserves the right to refuse membership, membership renewal, ordination, license or endorsement to any applicant or member for just cause by the directive of the board of directors of Chaplain Fellowship Ministries. All decisions made by the board of directors shall be binding and final.