(Note: Unless you have chaplain experience or have specialized training, you will start at Associate Chaplain Recognition Level.)
Educational area is optional and will be used only to qualify levels. List any formal education you have received, beyond high school, from where your highest level of education was completed. Also, list all specialized chaplain related training that you have completed.
If you are a UPCI pastor (ordained or general licensed only) you do not need to fill out the references.
List the name, address and phone number of two personal references who are acquainted with your ministry gifts and the history of your Christian service. Include your pastor as one of the refereneces because he/she will be also be contacted separately to fill out the pastoral reference for you. Please include area codes with your phone numbers.
Additional Written Information (UPCI ordained/general license ministers are exempt from this section)
Prepare a personal discussion on your calling to chaplaincy ministry including steps you have taken to answer the call and how you have acquainted yourself with the ministry of your choice.
Prepare a short essay on your theology of ministry, addressing the following questions providing a scriptural basis for your conclusions. Keep in mind your context for ministry within the particular area of chaplaincy for which you are seeking endorsement.
Answer the following:
#1: How will you maintain your denominational uniqueness and traditions within this pluralistic setting?
#2: What is the mission of the church? Specifically, how will being a chaplain facilitate or help to accomplish that mission?
#3: How would you justify your existence as a chaplain within a secular institution?
#4: If you are already serving as a chaplain, (a) describe the scope of your chaplaincy ministry (b) the number of hours per week (c) nature of the volunteer status.
I understand the necessity to have a clear theology of ministry with a solid scriptural suppport base with the demands that will be placed on me as a chaplain, due to the pluralistic (ministering to employees of other faiths) setting, and the extremely secular context in which ministry is done.
Agreement:
I acknowledge and affirm that the information by me in this application, including all attachments and exhibits, is true and correct to the best of my knowledge. I hereby authorize the Chaplaincy Department, or its designee, to conduct a complete investigation of my background, character, reputation, and fitness to serve. This application shall constitute authority to all of my past and present employers, to all educational institutions I have attended, to all religious institutions and other organizations to which I have been associated, to all government entities (including criminal records check), and to any other person or entity having information about me, to fully disclose each information to the Chaplaincy Department. I authorize the making and retention of photocopies or facsimiles of all such information, and request that photocopies or facsimile copies be accepted on the same basis as original documents.
Chaplaincy Ministries was designed to certify chaplains primarily for United Pentecostal Church International (UPCI); however, we made provisions for other groups to join. Chaplains applying who are not UPCI members will receive the same endorsement without the UPCI note on their badge. They will not be able to purchase the police style shield as it has UPCI stamped on it.
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