Chaplain Fellowship Ministries
4410 Box Canyon Drive
Temple, TX 76502-3263

SENIOR CHAPLAIN MEMBERSHIP APPLICATION
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

Applications must be mailed. Cannot be sent by e-mail or fax.
This application must be printed in Landscape format. Please type or print clearly

{MEMBERSHIP DRIVE} Please note: For a limited time during our membership drive we have reduced all our membership fees in an attempt to help those seeking to become ministers and chaplains to obtain what they need to perform at some level of ministry legally. Folks take advantage of this while you can, it is not permanent and will end on June 1st 2013.

 

Name: ___________________________________________________ Date: ______________________

Address: ____________________________________________________________________________

City: ___________________________________ State: ______________ Zip Code: ________________

Home Phone (____) ________________________ Business Phone (___)_________________________

E-mail Address: ______________________________________________________________________

Date of Birth: ________________________ Age: _______________ Sex: ________________________

Marital Status: [     ] Single [     ] Married [     ] Divorced [     ] Remarried [     ] Other

Hair Color: _____________ Eye Color: _______________ Height: ____________ Weight: ___________

Current Driver License or State ID #: ____________________________ State: ____________________

Are you a legal US or British Citizen? Yes: _____   No: _______   If your answer is no, application will not be accepted!

Are you now or have you ever been a member of any organization that support racism? [     ] NO [     ] Yes

Veteran: [     ] Yes [    ] No - 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#: ____________________________________________________________________

In Case of an emergency notify: _______________________________________________________

Relationship _________________________________ Phone: ______________________________

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: all applicants must pass a background check. 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.

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 are 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 driver’s license: Identification must be verified, forward with your application a photocopy of your Current driver's license.

Senior Chaplain membership Requirements: To be a Senior Chaplain the applicant must have 3 years of experience in an existing field of ministry. For example if you are a prison ministry chaplain you would have to have 5 years of experience in prison ministry. In other words you must have 5 years of experience in a specific field of ministry, not just in ministry itself.


SENIOR CHAPLAIN PROCESSING FEE FOR MEMBERSHIP IS $155.00. Senior 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. Senior Chaplains are held to a higher standard by the very nature of their positions of maturity and are required to accept responsibility for the stability and advancement of the ministry by making a monthly commitment of support and keeping such. 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. All applicants for membership must pass a background check. Processing donation also covers background check. The leadership and dedicated members of Chaplain Fellowship Ministries believe in honesty, integrity and accountability.

1. Ministry Membership Certificate
2. Ministry Endorsement Certificate
3. Ministry Ordination Certificate
4. Ministry License Certificate
5. Ministry Letter of good standing
6. Chaplain's Photo ID Card with holograph seals of authenticity, Magnetic strip on back with an overlay for the protection of the card
7. Ministry Appointment as a Senior Chaplain
Certificate
8. Access to ministry certification courses
9. Access to ministry bibles courses
10. Access to ministry Badges, Decals, Patches and other ministry items more.

11. One free course of instruction. Check one course from the list below. The download link for the course and exam you check will be e-mailed to the e-mail address on your application! The Public Safety will be on CD due to the size of the course.

Please Note: You are not required to complete any of these courses to qualify for membership, they are provided to you so you can complete them if you desire to and receive a Certificate. Certificate will be Issued for courses completed with a score of at least 72%. Again it is NOT required that you complete the course you select!

Select one free course of Instruction: 1. Hospice care ministry ______ 2. Prison Ministry _____ 3. Nursing Home Ministry _____  4. Pastoral Crisis Counseling _____  5. Evangelism ______  6. Intercessory Prayer ______ 7. Public Safety ______

Note: The cost of one of these courses is more than your whole membership ands document package!

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 also receive discounts on training courses and ministry supplies.

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 for the stability and advancement of the ministry. Donations make it possible to reach out to senior citizens, military families and poor families with groceries, utility bills, school supplies, medication and rent. Donations also help provide educational grants for members so they can serve in their communities nationwide.

(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 and advancement of Chaplain Fellowship Ministries.

1. I understand that my membership with Chaplain Fellowship Ministries does not give me the rights to state or federal tax exemption. I 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.

2. I understand that if I fail to keep my monthly commitment of support to Chaplain Fellowship Ministries it will be considered unscriptural conduct and failure to maintain my membership requirements in good standing. In such case I will not be able to renew my membership as a Senior Chaplain, but are welcome to renew as a Registered chaplain. Where there is no accountability, there is no credibility.

 

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 denied membership, the applicants donation will be returned to them in full. All documents submitted with application for membership become 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. "A ministry of His people".

 

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 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: ______________________________

Staff Members reviewing application.

Dr. ______________________________________

Dr. ______________________________________

Dr. ______________________________________

Chaplain Fellowship Ministries is a faith based Christian 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 by directive of the board of directors of Chaplain Fellowship Ministries. All decisions made by the board of directors shall be binding and final.