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: _____________
Veteran: [ ] Yes [ ] No - Your Present Occupation: _________________________________
Are you credentialed for ministry? [ ] Yes [ ] Licensed [ ] Ordained [ ] NO
If so, what Church or Denomination? _________________________________________________
How did you find out about us? _____________________________________________________
Who recommended CFMI to you: ___________________________________________________
In Case of an emergency notify: ____________________________________________________
Relationship _______________________________
Phone: ______________________________
Have you ever been convicted of a felony? [ ] Yes [ ] No -If yes please explain on the back of the application. 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!
Make sure you read this
application very carefully before signing. No application will be considered
or processed without this application being completed in full, signed; dated
and all required documents must be included. All memberships and ID cards
must be renewed each year on or before the renewal date located on your membership
certificate and ID Card. Please
be sure to provide the following with your application. No application will
be processed unless the following requirements are complete:
1. Resume – A resume of sort, detailing what you would like to do to
help those who are in pain or suffering.
2. Documents and ministerial experience – Include any documents and ministerial experience you have, if you have none, Please tell us anything you feel that would help us understand your need to become a member or to be endorsed by 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 know how to give from the heart for the Glory of God, Not man.
3. Two Passport Photos, NOT A COPY OF YOUR PASSPORT– Two passport photos, nothing else will be accepted. Please note: Photos must be passport photos, nothing else will be accepted! The quality of your ID card will depend on the quality of the photo you submit with your application.
4. Letters of Reference – Two letters of reference from someone that knows you and your efforts to help the suffering & needy.
5. Photocopy of Current driver’s license or State ID Card – Identification must be verified, forward with your application a photocopy of your Current driver's license or State ID card. The quality of your ID Card will depend on the quality of the photo you submit.
6. Please Note: Members who make a pledge of $25.00 a month for the stability and advancement of Chaplain Fellowship Ministries and keep their commitment, will have their membership automatically renewed each year.
Please read carefully: I am requesting membership as a Lay Chaplain. For the initial donation of $85.00 to cover document production, mailing cost, recording of all documents you will receive the following.
1. Certificate
of Membership with official seal & ribbons
2. Certificate of Title as a Lay chaplain with official seal & ribbons
3. Certificate of License with official seal & ribbons
4. Basic Chaplains Photo ID card.
7. My donation of _____$85.00 for membership as a Lay Chaplain is enclosed.
8. This year I am making a monthly pledge of at least ____ $20.00 ___$25.00 ___$45.00 ___$55.00 ___$65.00 ___$75.00 ___ $100.00 ___$200.00 ___$300.00 ___$400.00 ___$500.00 for the stability and advancement of Chaplain Fellowship Ministries.
9. I can not make a monthly pledge, I am 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 and advancement of Chaplain Fellowship Ministries.
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.
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.
2. Members fully understand and agree that they are responsible for their own actions as ordained Chaplains and ministers. Furthermore members agree that Chaplain Fellowship Ministries, all board members, directors, associate ministries, affiliate ministries and members shall not be held liable for any damages caused by the misuse or misrepresent of their credentials, ministry license, title, position, qualifications, education or experience.
3. Members fully understand and agree that they are to submit an annual report of their activities in ministry and any education or training that they have taken each year at renewal time. Annual reports must be submitted with members renewal applications at time of membership renewal each year. Members who allow their membership expire for more than 90 days must submit a new application unless otherwise approved by the board of directors.
4. 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: _____________
Donation Options! Please read options and instructions carefully!
1. Checks or Money Orders: All funds must be in US funds. Make payable to: Chaplain Fellowship Ministries, Mail your completed application with your check or money order to the address listed below. Please Note: 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.
Chaplain
Fellowship Ministries
7803 Redbrush
Temple, TX 76502-5519
Attn: Documents
2. Major credit cards are accepted: You can make your membership 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: New membership packages may take up to 2 to 3 weeks for delivery once received in our office.
God bless you, and Thank You! Click here to return to the options page!
For office use only
Date Application was received: _________________
Date Application was reviewed: _________________
Date vote was taken: _________________________
Approved on: _______________________________
Disapproved on: ____________________________
CFMI File No: ______________________________
Signatures of Senior Staff Members reviewing application.
Chaplain: ______________________________________
Chaplain: ______________________________________
Chaplain: ______________________________________