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. Applications must be mailed to the ministry home
office, application 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 with a white background,
nothing else will be accepted no
ID card will be issued unless this requirement is meet.
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.
PLEASE
NOTE: Member's
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 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 calendar year.
3. Discounts
of 10% on all Training courses offered by Homeland Crisis Institute
and Chaplain Fellowship Ministries. Contact the home office before
requesting training courses to receive discount.
REGISTERED CHAPLAIN
MEMBERSHIP: For
the initial donation of $160.00 to covers your background check, document
production, mailing cost and recording of all documents. 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.
1.
Certificate of Membership with official seal & ribbons
2. Certificate of Ordination with official seal & ribbons
3. Certificate of Title as a registered chaplain with official seal
& ribbons
4. Certificate of License with official seal & ribbons
5. Letter of good standing with official ministry seal
6.
Registered Chaplains Photo ID card.
7. This
year I am making a monthly pledge of at least: ___ $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.
8. I can not 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)
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 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 for a ministry of the people. "A ministry of His people".
Signature Is Required: _______________________________________ (Required)
Donation
Options! Please
read options and instructions 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 ARE ACCEPTED: You can make
your donation using your major credit card by clicking on the
add to cart 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.
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.
Chaplain: ______________________________________
Chaplain: ______________________________________
Chaplain: ______________________________________
