Chaplain Fellowship Ministries
Churches, Ministries, Chaplaincy's, Missions and Training Institutes
Registered Chaplain 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: ______________________________

 

(No Application for renewal will be processed without all required information being completed)

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.

Registered chaplains: I am a requesting my membership be renewed. My donation of ______$60.00 to cover document production, mailing cost and recording of all documents is enclosed. All members of Chaplain Fellowship Ministries are expected to recruit new members and support the ministry by making a monthly pledge of 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 their responsibility. Renewal packages may take up to 3 to 4 weeks for delivery once received in our office.

1. This year I am making a monthly financial commitment of at least ____$15.00 ___$25.00 ___$45.00 ___$65.00 ___$75.00 ___$100.00 ___$200.00 ___$300.00 ___$400.00 ___$500.00 for the stability and future advancement of Chaplain Fellowship Ministries.

2. I can not make a monthly commitment for the stability and advancement of Chaplain Fellowship Ministries. I am making a one time donation of ____$15.00 ___$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.

 

Signature Is Required: __________________________________________

Chaplain Fellowship Ministries Holds all Members Accountable For Their Action - Without Accountability There Is No Credibility

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.