Chaplain CSIF

Name *

First Name Last Name

Middle Initial *

Phone Number *

Please enter a valid phone number.

Email *

example@example.com

SSN *

Chaplain Candidate Commission Date *

Date

Branch of Service *

Denomination or Faith-Group *

Endorsing Agency & Address *

Seminary/Graduate School & Office of Financial Aid Address *

Expected Seminary/Graduate Degree Completion Date *

Date

Expected Date of Full Ordination *

Date

Anticipated Date of Full Ecclesiastical Endorsement *

Date

Marital Status *

Single Married

Number of Non-Spousal Dependents *

Educational Indebtedness *

Provide the following financial information. A.) Total educational indebtedness to date. (Candidate only, not spouse). B.) This school year's tuition, books and fees total cost. C.) this school year's scholarship grants (not loans) which will help cover total costs specified in item "b".

GPA *

Short Essay {Max 500 words} on your sense of call to ministry in general and to pastoral care for military personnel and their families in particular. *

Current Official Military Photograph *

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Four Letters of Reference (In PDF Form) *

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A.) From a school official stating that you are enrolled as a full time student. B.) From your religious faith group endorser stating your present ecclesiastical endorsement status. C.) One letter each from a clergy -person.

A Description Of Your Chaplain Candidate Military Experiences To Date *

Including height/weight and most recent PT Test Results.