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? [     ] NO [     ] Yes [     ] Licensed [     ] Ordained [     ] Commissioned

If yes? Who with: ___________________________________________________________________

Did a member recommend you: Yes ___________ No: ___________

If yes? Member's Name: _____________________________________________________________

Member's ID#: ____________________________________________________________________

In Case of an emergency notify: _______________________________________________________

Relationship _________________________________ Phone: ______________________________

[ Please read everything on this application form carefully! ]

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!

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[ 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 sorts: Please tell us anything you feel that would help us understand your need to become a member of 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 have been there and know how to give from the heart for the Glory of God kingdom, Not man.

2. Documents and ministerial experience: Include all degrees, certificates of completion and certification and any other documents showing years of service and ministry experience.

3. Two Passport Photos: Not a copy of your passport or scanned photos. Passport photos must have a white background, nothing else will be accepted, membership will not be approved unless this requirement are fulfilled.

4. Letters of Reference: Two letters of reference from pastors, chaplains or others who know your personal charter.

5. Photocopy of Current driver’s license: Identification must be verified, forward with your application a photocopy of your Current driver's license.

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REGISTERED CHAPLAIN MEMBERSHIP: For the initial membership set up fee of $165.00 You will receive the items listed below in your membership package. New membership packages may take up to 2 to 3 weeks for delivery once application has been received and approved. Membership must be renewed each year, membership renewal dues is $65.00 a year. Members who make firm monthly commitment of $25.00 a month for the support stability and advancement of Chaplain Fellowship Ministries and keep their commitment will have their membership automatically renewed the following year.

1. Certificate of Membership with ministry seal
2. Certificate of Ordination with ministry seal
3. Certificate of License with ministry seal
4. Letter of good standing with ministry seal
5. Chaplains Photo PVC "Plastic" ID card with holograph seals of authenticity, security bar code and overlay
6. Certificate of appointment as a registered chaplain with ministry seal
7 . Disaster Relief Chaplain certification course through Homeland Crisis Institute
8. Access to member's certification courses through Homeland Crisis Institute
9. Access to member's bibles courses through Chaplain Bible Institute
10. Access to member's ID Cards, Badges, Decals, Patches and other ministry items more.

Please Note: Members who make firm monthly commitment of $25.00 a month for the support stability and advancement of Chaplain Fellowship Ministries and keep their commitment will have their membership automatically renewed the following year.

(a.) Renew my membership automatically next year: I am making a monthly pledge of: [     ] $25.00 a month for the stability and advancement of Chaplain Fellowship Ministries.

(b.) I am making a monthly pledge of: [     ] $10.00 [     ] $15.00 [     ] $20.00 [     ]  $25.00 [     ]  $30.00 [     ]  $35.00 [     ]  $45.00 [     ]  $55.00 [     ] $100.00 [     ]  $200.00 [     ] $300.00 [     ] $400.00  [     ] $500.00 for the stability and advancement of Chaplain Fellowship Ministries.

(c.) I cannot 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.

Signature Is Required: ______________________________________________________ (Required)

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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.

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

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.

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. Every member of Chaplain Fellowship Ministries must agree to commit themselves to the responsibility of living within the established standards of the agreement within this application for membership. When a member fails to meet the responsibilities upon which they have agreed, then there is a need to hold the individual accountable. The purpose for accountability and discipline is to provide an opportunity for understanding, personal growth, and development. We believe that all members should want to help build up the Lords' ministry by recruiting 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. It is our prayer and hope that you as a new member will feel the same and consider helping us in the mission and vision the Lord has given us. "A ministry of His people".

 

Signature Is Required: _________________________________________________ (Required)

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DONATION OPTIONS! PLEASE READ CAREFULLY!

Checks or Money Orders: All donations must be in US funds. Make payable to: Chaplain Fellowship Ministries, Mail your completed application with your check or money order to the address below. 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.

Major Credit Cards: You can make your donation using your major credit card by clicking on the donation button below. Mail your completed application to the address below after you make your donation. New membership packages may take up to 2 to 3 weeks for delivery once received in our office. Application must be sent in for processing within 30 Days from the date your donation was made through PayPal.

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Chaplain Fellowship Ministries
7803 Redbrush
Temple, TX 76502-5519

God bless you, and Thank You! Click here to return to the options page!

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FOR OFFICIAL OFFICE USE ONLY

Date Application was received: _________________

Date Application was reviewed: _________________

Date vote was taken: _________________________

Approved on: _______________________________

Disapproved on: ____________________________

Member's ID No: ______________________________

Signatures of Senior Staff Members reviewing application.

Dr: ______________________________________

Dr: ______________________________________

Dr: ______________________________________