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Chaplaincy Application Form
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This application will take approximately 25 minutes to complete. Select Chaplaincy Positions for which you are applying:
Army
Active Duty
National Guard
Reserves
Chaplain Candidate
Air Force
Active Duty
National Guard
Reserves
Chaplain Candidate
Civil Air Patrol
Navy
Active Duty
Reserves
Chaplain Candidate
Coast Guard Auxiliary
Healthcare
Veterans Affairs
Hospital
Hospice
Correctional
Federal Bureau of Prisons
State
Private
Emergency Services
Law Enforcement
Fire
Civilian Ministries
Education
Marketplace
A. Personal Data
Instructions: Please answer each question; use "N/A" for all that do not apply. Enter the number '5' (multiples when required) for each numerical answer that is n/a.
Name
(Required)
First
Last
Nickname
Date of Birth
(Required)
Month
Day
Year
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
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
Cell Phone
(Required)
Email Address
(Required)
Alternate Email Address
(Required)
Office Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
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
Citizenship
(Required)
Are you an American citizen?
Yes
No
Citizen By Birth?
(Required)
Yes
No
Citizen By Naturalization?
(Required)
Yes
No
Give Date
Month
Day
Year
Criminal History
(Required)
Have you ever been charged with, convicted of, investigated for any criminal activities; moved because of, or transferred to another position because of any sexual misconduct or sexual harassment?
Yes
No
Criminal Offense Date
When?
Month
Day
Year
Criminal Offense Location
Where?
Criminal History Details and Information
(Required)
If your response is "Yes" above, please explain
Financial Bankruptcy
(Required)
Have you ever filed for bankruptcy or ever had any serious financial problems?
Yes
No
Financial Issue Date
Please provide the date.
Month
Day
Year
B. Domestic, Family and/or Marital Data
Marital Status
(Required)
What is your current marital status?
Single
Married
Divorced
Wedding Date
Since married, date of marriage.
Month
Day
Year
Spouse's Name
If married, spouse's name
First
Last
Marital Living
If married, are you and your spouse living together?
Yes
No
Previous Companion
(Required)
Do you have a former living companion?
Yes
No
Spouse's Previous Companion?
(Required)
If married, did your spouse?
Yes
No
Previous Companion(s) Explanation
Please explain.
Spousal Support of Chaplaincy
(Required)
To what extent does your spouse share your interest in the chaplaincy?
Children
(Required)
Do you have any children?
Yes
No
Children
If you have children, list name and date of birth of each.
(
Note:
Click on "+" icon to add additional rows for entry)
Name
Date of Birth (mm/dd/yyyy)
Add
Remove
C. Ministerial and Spiritual Data
Date of Salvation
(Required)
Month
Day
Year
Date Filled w/ Holy Spirit
(Required)
Month
Day
Year
Date of Ministerial License
(Required)
When were you licensed?
Month
Day
Year
Ministerial License Person
(Required)
First
Last
License Person's Phone
(Required)
Date of Ordination
(Required)
When were you ordained?
Month
Day
Year
Ministerial Ordination Person
(Required)
First
Last
Ordination Person's Phone
(Required)
Church Attendance
(Required)
Name of local church attended.
Denomination
(Required)
Your denominational affiliation.
Previous Endorsement
(Required)
Have you previously applied for endorsement?
Yes
No
Previous Endorsement Results
(Required)
What decision was made on your application?
Ministerial Experience
(Required)
Total ministerial experience, beginning with the present and working back:
(
Note:
Click on "+" icon to add additional rows for entry)
Church / Employer
Address
Position Held
Date Start (mm/dd/yyyy)
Date End (mm/dd/yyyy)
Add
Remove
D. Educational Data
College and Seminary Training
(Required)
Please do not use initial for school names. Be prepared to send transcripts to Chaplaincy of Full Gospel Churches.
(
Note:
Click on "+" icon to add additional rows for entry)
Institution Name
Address
Start Date (mm/dd/yyyy)
End Date (mm/dd/yyyy)
Major
Total Hours
Degrees Conferred
Add
Remove
Clinical Pastoral Education
Have you completed clinical pastoral education (CPE)?
Yes
No
CPE Quarters Completed
(Required)
If so, how many quarters have you completed?
Additional Training
(Required)
Is there any other special training you have received to prepare for the Chaplaincy?
E. Secular Occupation Data
Occupational Experience (Last 7 years)
List most recent employers.
(
Note:
Click on "+" icon to add additional rows for entry)
Employer
Address
Position
Start Date (mm/dd/yyyy)
End Date (mm/dd/yyyy)
Add
Remove
F. Military Data
Military Service
Have you served in the military?
Yes
No
Military Service History
(Required)
Please list all previous active-duty military service.
(
Note:
Click on "+" icon to add additional rows for entry)
Branch
Start Date (mm/dd/yyyy)
End Date (mm/dd/yyyy)
Grade
Add
Remove
Discharged
(Required)
If discharged, type of discharge you received. (A copy of your discharge is required).
Active Reserves
(Required)
If currently in a reserve unit, please provide the Name or Organization Address
Rejected for Service
(Required)
Have you ever been rejected for military service?
Yes
No
Military Service Rejection Details
If so, please give details of military rejection.
Military Record Review Consent
I hereby grant permission to a member of Chaplaincy of Full Gospel Churches to review my military record if CFGC sees a need to do so.
Yes
No
Military Service Application
Are you applying for military service?
Yes
No
Height & Weight
(Required)
Please provide measurements for your height and weight in the fields provided below. Entries should be numeric values only.
Height (feet)
Height (inches)
Weight (pounds)
Biological Sex
Add
Remove
Physical Defects
(Required)
Do you have any physical defects?
Yes
No
Physical Defects Explanation
(Required)
If yes, please describe.
Major Illnesses
Have you had any major illnesses?
Yes
No
Major Illness Details
If yes, please describe
Hospitalization
Have you ever been hospitalized?
Yes
No
Hospitalization Reason
Physical
Emotional
Hospitalization Details
Please provide details on the nature of illness.
G. References
Please provide references and contact information for the following individuals.
Present Pastor's Name
(Required)
First
Last
Present Pastor's Phone
(Required)
Present Pastor's Email
(Required)
Other Minister's Name
(Required)
First
Last
Other Minister's Phone
(Required)
Other Minister's Email
(Required)
College Contact Name
(Required)
First
Last
College Contact Phone
(Required)
College Contact Email
(Required)
Seminary Contact Name
(Required)
First
Last
Seminary Contact Phone
(Required)
Seminary Contact Email
(Required)
Other Individual Name
(Required)
First
Last
Other Individual Phone
(Required)
Other Individual Email
(Required)
H. Discussion Questions
Please discuss the following topics in approximately 250 words per question.
Provide a biographical sketch. (Tell us about yourself)
(Required)
Describe your salvation experience.
(Required)
Explain (with examples) the fruit of your Life in Christ.
(Required)
Explain why you believe you are "Spirit-filled".
(Required)
What are your Spiritual Gifts?
(Required)
Describe your call as a chaplain.
(Required)
How have you prepared your character for chaplaincy?
(Required)
Describe your concept of financial stewardship.
(Required)
Statement of Understanding
I agree with both the Statement of Faith and NT Principles viewable on the official CFGC website.
I understand that CFGC upholds the Biblical view of Marriage as a Sacred union between one man and one woman. I am not permitted to conduct and/or participate in any ministry or action that does not align with the above view.
I understand that I am expected to be a “Full-Gospel” minister. This means that I am expected to be able to freely and without reservation confess that Jesus Christ is Lord and Savior and that the Spiritual gifts in Scripture continue today. Additionally, I am expected to daily exercise my Biblical Spiritual giftings for the Glory of God in fulfillment of the Great Commission.
I must be willing to hold “General Protestant” worship services as well as those services specifically exercising all my own religious persuasions.
I understand that, if commissioned/employed as a chaplain, I will be working alongside chaplains of other denominations and faith groups, sometimes differing widely with my own views and beliefs. While I will not be asked to compromise my own conscience and beliefs, it is essential, by the very nature of the chaplaincy, that I consider their ordination and ministry as valid in the U.S. military - as is my own.
I understand that I must meet each and every requirement for Chaplains of the specific ministry to which I apply.
All my undergraduate and graduate level education must be accredited by the US Department of Education (USDE) or the Council for Higher Education (CHEA).
I understand that, because of the endorsement to Federal, State, and Local Agencies, etc., A robust background, police records, and financial investigation may be conducted (multiple times); to include Social Media, records of drug/alcohol abuse, and diseases that might indicate moral laxity.
I understand that it is a requirement of potential employers (Federal, State, and Local Agencies, etc.,) that my Endorsing Agency have the authority to issue and withdraw endorsement.
Endorsement is a continuing requirement. Should I prove to be personally, professionally, or for other reasons unsuited for the chaplaincy and should CFGC decide that my endorsement should be withdrawn, I agree to abide by its decision.
If endorsed by CFGC, I will give an amount not less 5% of my Total Income to the CFGC Inc., for ministry operating expenses.
I agree to be contacted by CFGC via phone, email, and SMS text.
I understand this is only an application and does not specify or imply acceptance or endorsement with CFGC.
I understand by submitting this application, CFGC Inc., is not obligated to Endorse me for Chaplaincy.
(Required)
YES
I understand and agree that if I am ever charged with, accused of, investigated for, moved because of, or transferred to another position because of alleged criminal and/or sexual misconduct that I will notify my endorser within 24 hours.
(Required)
YES
Signature
Signature Date
Month
Day
Year
CAPTCHA
Application Fee
Price:
Payment Method
(Required)
PayPal Checkout
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Total
Email
This field is for validation purposes and should be left unchanged.
$125 Application Fee