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 so, what
Church or Denomination? _________________________________________________
How did you
find out about us? _____________________________________________________
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.
SENIOR CITIZEN'S
MEMBERSHIP:
For an initial donation of $105.00 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.
Registered Chaplains Photo ID card.
6. 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.
7. 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: __________________________________________________ (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
The
leadership and dedicated members of Chaplain Fellowship Ministries
believe in honesty, integrity and accountability.
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: __________________________________________________ (Required)
Donation
Options! Please
read options and instructions carefully!
CHECK 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.
Note: 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 ACCEPTED:
You
can make your donation using your major credit card by by clicking
on the add to cart button below. Mail your completed application
to the address 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. Application must be sent in for
processing within 30 Days from the date your donation was made
through PayPal.
Chaplain Fellowship
Ministries
7803 Redbrush
Temple, TX 76502-5519
God
bless you, and Thank You! Click
here to return to the options page!
FOR
OFFICIAL OFFICE USE
Date Application
was received: _________________
Date Application
was reviewed: _________________
Date vote was
taken: _________________________
Approved on:
_______________________________
Disapproved
on: ____________________________
CFM File No:
______________________________
Signatures of
Senior Staff Members reviewing application.
Chaplain: ______________________________________
Chaplain: ______________________________________
Chaplain: ______________________________________
