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1
Contact Information
2
Personal Information
3
Family Information
4
Service Information
5
Education Information & References
6
Personal Testimony
7
Consent
Contact Information
Name
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First
Last
What type of position are you seeking endorsement for?
*
(Choose One)
Military Chaplain
Chaplain Candidate (In Seminary)
Institutional Chaplain
Institutional Chaplain Type
(Choose One)
VA
Health Care
Law Enforcement
Other...
Military branch
(Choose One)
Army
Navy
Air Force
Chaplain Candidate Duty Status
(Choose One)
Reserve
National Guard
Duty Status
(Choose One)
Active Duty
Reserves
National Guard
Civil Air Patrol
Coast Guard
If “Other” Please Explain.
Email Address
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Phone
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Address
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Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
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Iowa
Kansas
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Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Personal Information
Your height
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Your weight
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Date of birth
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Place of birth
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Current occupation
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Name of church
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Church affiliation
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Full, official name of religious body affiliated with the Evangelical Chaplains Commission
Ordained
*
Place / Church body
Ordination Date
*
MM slash DD slash YYYY
Professional experience
*
Include number of years of professional ministry.
Have you ever been convicted of a felony?
*
Yes
No
Please explain below
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Have you ever used or trafficked in illicit drugs?
*
Yes
No
Please explain below
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Spouse & Family Information
Current marital status
*
Select
Married
Single
Widowed
Divorced
Spouse's Name
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Spouse's Gender
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Male
Female
Citizen of
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Spouse's Age
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Spouse's date of birth
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Spouse's place of birth
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Names and ages of children
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What role does your spouse play in your ministry?
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Service Information
Have you served or currently serve in a branch of the military
*
Yes
No
Which branch?
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Branch Name
Rank
Dates of Service
Number of months on active duty as an Officer
*
Number of months on active duty Enlisted
*
Please upload a photo of yourself.
*
Max. file size: 50 MB.
If applicable, upload a copy of your DD214
Max. file size: 50 MB.
Education Information
Give full names of post high-school institutions.
School name
Dates attended
Graduation Date
Degree
Please confirm that you will send official transcripts digitally to
[email protected]
*
Yes
References
Three references are required. Please submit references who have observed you in ministry with in the last five years.
*
Click the plus icon to add additional references.
Title
Full Name
Mailing Address
Email Address
Personal Testimony
What is your testimony?
*
Code of Ethics
*
I agree to the code of ethics.
The following is a Code of Ethics developed by the National Conference on Ministry to the Armed Forces, a multi-faith body focused on meeting the spiritual needs of our nation’s men and women in uniform. Applicants seeking endorsement into the Department of Defense must sign the document to be eligible for endorsement or provide an explanation for their concerns.
I will hold in trust the traditions and practices of my religious body.
I will carefully adhere to whatever direction may be conveyed to me by my endorsing body for maintenance of my endorsement.
I understand as a chaplain in the United States Armed Forces that I will function in a pluralistic environment with chaplains of other religious bodies to provide for ministry to all military personnel and their families entrusted to my care.
I will seek to provide for pastoral care and ministry to persons of religious bodies other than my own within my area of responsibility with the same investment of myself as I give to members of my own religious body. I will work collegially with chaplains of religious bodies other than my own as together we seek to provide as full a ministry as possible to our people.
I will respect the beliefs and traditions of my colleagues and those to whom I minister. When conducting services of worship that include persons of other than my religious body, I will draw upon those beliefs, principles, and practices that we have in common.
I will, if in a supervisory position, respect the practices and beliefs of each chaplain I supervise and exercise care not to require of them any service or practice that would be in violation of the faith practices of their particular religious body.
I will seek to support all colleagues in ministry by building constructive relationships wherever I serve, both with the staff where I work and with colleagues throughout the military environment.
I will maintain a disciplined ministry in such ways as keeping hours of prayer and devotion, endeavoring to maintain wholesome family relationships and regularly engaging in educational and recreational activities for professional and personal development. I will seek to maintain good health habits.
I will recognize that my obligation is to provide for the free exercise of religion for ministry to all members of the military services, their families and other authorized personnel. When on active duty, I will only accept added responsibility in civilian ministry if it does not interfere with the overall effectiveness of my primary military ministry.
I will defend my colleagues against unfair discrimination on the basis of gender, race, religion or national origin.
I will hold in confidence any privileged communication received by me during the conduct of my ministry. I will not disclose confidential communications in private or in public.
I will not proselytize from other religious bodies, but I retain the right to evangelize those who are not affiliated.
I will show personal love for God in my life and ministry, as I strive together with my colleagues to preserve the dignity, maintain the discipline and promote the integrity of the profession to which we have been called.
I recognize the special power afforded me by my ministerial office. I will never use that power in ways that violate the personhood of another human being, religiously, emotionally or sexually. I will use my pastoral office only for that which is best for the persons under my ministry.
NAE Statement of Faith
*
I agree to the NAE Statement of Faith.
We believe the Bible to be the inspired, the only infallible, authoritative Word of God.
We believe that there is one God, eternally existent in three persons: Father, Son and Holy Spirit.
We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory.
We believe that for the salvation of lost and sinful people, regeneration by the Holy Spirit is absolutely essential.
We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life.
We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation.
We believe in the spiritual unity of believers in our Lord Jesus Christ.
Consent
*
By typing my name on this line, I hereby certify the information on this application is true to the best of my knowledge. And I acknowledge that before this application is complete, I will have to submit my social security number upon request for a background check.
Application Fee
*
Price:
Coupon
Total
$0.00
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
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Expiration Date
Security Code
Cardholder Name
Date
MM slash DD slash YYYY
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