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: ______________________________________________
Choose your area of ministry from the following: [ ] Police [ ] Fire [ ] EMS
[ ] Military [ ] Corporate [ ] Victims [ ] Chemical Dependency [ ] School [ ] Hospice
[ ] Critical Incident [ ] Crisis Intervention [ ] Jail [ ] Prison Ministry [ ] Street Ministry
[ ] Hospital [ ] Nursing Home [ ] Other___________________________________________
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, there are four different options offered. 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. Passport Photo, NOT A COPY OF YOUR PASSPORT- One passport photo, 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.
Please Note: Any member who make a firm financial commitment of at least $25.00 a month for the stability and advancement of Chaplain Fellowship Ministries, and keeps their commitment, will have their membership automatically renewed each year.
Option 1: I am requesting basic chaplain status.
For the initial donation of $119.00 you will hold basic membership and ordination
with Chaplain Fellowship Ministries as long as you are in good standing. Your
initial donation covers document production, mailing cost, recording of all
documents, and will help the stability and advancement of the ministry. You
will receive the following.
1. Certificate of Membership
with official seal & ribbons
2. Certificate of Ordination with official seal & ribbons
3. Certificate of License with official seal & ribbons
4. Certificate of Title as a chaplain with official seal & ribbons
5. Chaplain Photo ID card.
6. I am requesting basic membership and ordination. My donation of ______$119.00 for my basic membership and ordination is enclosed.
7. If already ordained check here: ___________I am already ordained and my ordination certificate is enclosed.
8. If not ordained check here: ______________I am not ordained, my CFMI pre-ordination exam is enclosed with this application.
9. This year I am making a monthly commitment of at least ___$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.
10. I can not make a monthly commitment. 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.
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 person may be disqualified and removed as a member. 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). I understand that if I am ever charged with, accused of, investigated for, moved or removed because of, or transferred to another position because of alleged criminal and/or sexual and/or ethical misconduct that this document authorizes my employer or volunteer chaplaincy organization to release all information to Chaplain Fellowship Ministries or their designated investigating agency.
2. I fully understand that I am to submit an annual report of my chaplaincy activities and any education or training courses that I have taken each year at renewal time. Annual reports must be submitted with members renewal applications at time of membership renewal each year. By signing below I agree to all the above stipulation for membership with Chaplain Fellowship Ministries International Inc.
Signature Is Required: _______________________________________ Date: _____________
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 such case the application will be returned to the applicant along with any donations made for consideration for membership. In the event that an applicant is not approved, the applicants donation will be returned to them in full.
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: New 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: Documents
2. Major credit cards: 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: ______________________________________