Chaplain
Fellowship Ministries
Churches, Ministries, Chaplaincy's, Missions and Training Institutes
Senior Chaplain Membership Renewal Form
Please Note: 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.
Name: ____________________________________________________ Date: ________________
Address: ________________________________________________________________________
City: ____________________________ State: _______________ Zip Code:__________________
Home Phone (____) _______________________ Business Phone (___)_____________________
E-mail Address: __________________________________________________________________
Marital Status: [ ] Single [ ] Married [ ] Divorced [ ] Remarried [ ] Other
Hair Color: ____________ Eye Color: __________ Height: __________ Weight: ______________
I have been a member Since: Date: __________________________________________________
My CFMI ID Card Number is: _______________________________________________________
My membership expires or expired on: _______________________________________________
In Case of an emergency notify: ____________________________________________________
Relationship _______________________________ Phone: ______________________________
Make sure you read this carefully before signing. No application for renewal of membership, license or endorsement will be considered or processed without this application being completed in full, signed, and dated. All renewal packages may take up to 3 to 4 weeks for delivery once received at the home office.
Please Note: Any member who make a firm commitment of financial support of at least $25.00 a month for the stability and advancement of Chaplain Fellowship Ministries will have their membership automatically renewed each year.
Senior
Chaplains: I
am a requesting my senior chaplain membership be renewed. My
donation of ______$60.00 to
cover document production, mailing cost and recording of all documents is enclosed.
Senior Chaplains are required
to make a firm monthly commitment of financial support for the stability and
advancement of the ministry, thereby acknowledging that no institution can stand
or be of full service unless all members accept the responsibility of maintaining
their monthly commitment of financial support.
(1) Senior Chaplains who did not keep their financial commitment last year or let their membership expire for more than 120 days must contact the home office to get membership renewal approval. All records are checked and verified. Renewal packages may take up to 3 to 4 weeks for delivery once received in our office. If you have any questions you can contact the home office and speak with a senior staff member.
(2) This year I am making a monthly financial commitment of at least ____$20.00 ___$25.00 ___$45.00 ___$65.00 ___$75.00 ___$100.00 ___$200.00 ___$300.00 ___$400.00 ___$500.00 for the stability and advancement of Chaplain Fellowship Ministries. Note: The leadership and members of Chaplain Fellowship Ministries have a zero tolerance policy regarding senior chaplains not keeping their commitment.
I understand that Senior
Chaplains who fail to keep their monthly commitment will be removed from the
membership rolls and will not be allowed to renew their memberships without
approval from the home office.
Signature Is Required: __________________________________________
1. 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 Governing Board of Directors of Chaplain Fellowship ministries.
Signature Is Required:
__________________________________________ Date: _____________
Renewal Donation Options! Please read options and instructions carefully!
Checks or Money Orders:
All funds must be in US funds. Make payable
to: Chaplain Fellowship Ministries, Mail your completed renewal
application with your check or money order to the address listed below.
Major credit cards are
accepted: You can make your renewal donation using your major credit card
by click on donation button below. Mail your completed application to the
address listed below after making your donation. Please Note: There will be
four dollars added to the cost of the package for PayPal charges. Renewal
membership packages may take up to 2 to 3 weeks for delivery once received
in our office.
Chaplain
Fellowship Ministries
7803 Redbrush
Temple, TX 76502-5519
Attn: Document Renewal
God bless you, and Thank You!
For ministry home office use only
Date Renewal Form was received : _________________
Date Renewal Form was reviewed: _________________
Approved on:___________________________________
Disapproved on: ________________________________
CFMI File No: _______________________________
Comments or Recommendation:
Signatures of senior staff members reviewing renewal form.
Chaplain: ______________________________________
Chaplain: ______________________________________
Chaplain: ______________________________________
Please Note: Unscriptural conduct or failure to maintain membership requirements in good standing or doctrinal departure from the tenets of faith shall be considered sufficient Grounds upon which any person may be disqualified and removed from membership. The requirements and information required within this application shall be subject to change without notice. The board of directors does hereby have the right to refuse membership renewal for Unscriptural conduct or failure to maintain membership requirements in good standing. All decisions made by the board of directors are final and binding. No goods or services were provided for donations other than intangible religious benefits.