SENIOR CHAPLAIN MEMBERSHIP APPLICATION
SENIOR CHAPLAIN MEMBERSHIP APPLICATION
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. Applications must be mailed to the ministry home office, applications cannot be sent by e-mail or fax.
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 yes? Who with: ________________________________________________________________
Did a member recommend you: Yes _____ No: ______
If yes? Member's Name: ___________________________________________________________
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!
(All required documents must be included with your application)READ CAREFULLY: 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. 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.
NOTE: Member's who make a pledge of at least $25.00 a month for the stability and advancement of Chaplain Fellowship Ministries, AND KEEP their commitment will have the following additional membership benefits.1. Membership Renewal: Members who keep their commitment are entitled to have their membership automatically renewed each year, they will receive their renewed documents and ID Cards each year before their membership expires.
2. Replacement Documents: Members who keep their commitment are entitled to free document and ID Card replacement, if documents become damages or destroyed, limited to one replacement ID Card and one set of replacement documents per year.
SENIOR CHAPLAIN MEMBERSHIP: For an initial donation of $175.00 to covers document production, mailing cost, recording fees applicant will receive the documents listed below in their membership package. Senior Chaplains are required to make a firm monthly pledge of support for the stability and advancement of Chaplain Fellowship Ministries thereby acknowledging that no faith based institution can stand or be of full service unless all members accept some responsibility for the welfare of the ministry. New membership packages may take up to 2 to 3 weeks for delivery once application has been received and approved.1. Certificate of Appointment as a Senior Chaplain
2. Certificate of Membership with official seal & ribbons
3. Certificate of Endorsement with official seal & ribbons
4. Certificate of Title as a senior chaplain with official seal & ribbons
5. Certificate of Ordination with official seal & ribbons
6. Certificate of License with official seal & ribbons
7. Certified Senior Chaplains Photo ID card.8. This year I am making a monthly pledge of: ______ $15.00 ____ $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.
I hereby certify and agree to the terms of membership as a senior chaplain with Chaplain Fellowship Ministries. The leadership and dedicated members of Chaplain Fellowship Ministries believe in honesty, integrity and accountability. For this reason Chaplain Fellowship Ministries adopted a zero tolerance policy regarding senior chaplains who fail to keep their commitment and membership current and in good standing.
Signature: _____________________________________________ (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 CredibilityUnscriptural 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. I understand that all members of Chaplain Fellowship Ministries are expected to recruit 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.
Donation Options! Please read options and instructions carefully!
Chaplain Fellowship Ministries
7803 Redbrush
Temple, TX 76502-5519God bless you, and Thank You! Click here to return to the options page!
FOR OFFICIAL OFFICE USE ONLYDate Application was received: _________________
Date Application was reviewed: _________________
Date vote was taken: _________________________
Approved on: _______________________________
Disapproved on: ____________________________
Member's ID Number: _______________________
Signatures of Senior Staff Members reviewing application.
Chaplain: ______________________________________
Chaplain: ______________________________________
Chaplain: ______________________________________
Chaplain Fellowship Ministries is a faith based Christian Ministry legally incorporated as a Nonprofit public charity with Chaplains and Ministers serving worldwide. 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.