WMCA Membership & Chaplain Endorsement Application

Way Maker Chaplain Alliance Membership & Chaplain Endorsement Application

Apply for membership and chaplain endorsement with Way Maker Chaplain Alliance (WMCA). Please complete all sections accurately to ensure timely processing.
Way Maker Chaplain Alliance

Welcome to the WMCA application form. Please read all instructions and complete each section carefully. Your information will be reviewed for membership and, if requested, chaplain endorsement.
Personal Information

Please provide your personal details as they appear on official documents.
Full Legal Name*

First NameLast Name
Preferred Name
Date of Birth*

MonthDayYear
Date
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Mailing Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Country*
Ministry Information

Tell us about your ministry background and current role.
Current Ministry Role/Title*
Organization/Church Name*
Years in Ministry*
Current Service Setting*

U.S. Department of Veterans AffairsHospitalHospiceMilitaryPrisonCorrectionsDisaster ResponseOther
Employment Status*

VolunteerPart-timeFull-time
Chaplaincy Status

Provide your current chaplaincy status and credentials.
Are you currently serving as a chaplain?*

YesNo
Current Credentials or Licensure (if any)
Certifying Bodies (if any)
Previous Endorsements (if any)
Areas of Chaplaincy Practice

U.S. Department of Veterans AffairsHospitalHospiceMilitaryPrisonCorrectionsDisaster ResponseOther
WMCA Membership

Select your membership type and share your calling.
Membership type applying for*

General MemberGeneral Chaplain Member (Already Endorsed)Chaplain Endorsement Candidate (Seeking Endorsement)
Reason for seeking WMCA membership and endorsement*
Ministry calling statement*
Endorsement Application

Indicate your endorsement request and related details.
Do you request WMCA endorsement?*

YesNo
Endorsement category (if applicable)
Theology & Ethics

Please review and agree to the following statements to proceed.
References

Provide three references who can speak to your character and ministry experience.
Reference 1 Name*
Reference 1 Role/Relationship*
Reference 1 Email*
example@example.com
Reference 1 Phone*
Please enter a valid phone number.
Reference 2 Name*
Reference 2 Role/Relationship*
Reference 2 Email*
example@example.com
Reference 2 Phone*
Please enter a valid phone number.
Reference 3 Name*
Reference 3 Role/Relationship*
Reference 3 Email*
example@example.com
Reference 3 Phone*
Please enter a valid phone number.
Document Uploads

Upload the required documents to complete your application.
Upload a government-issued ID*

Cancelof
Upload ministry credentials (if applicable)

Cancelof
Upload ordination/license (if applicable)

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Upload resume or CV*

Cancelof
Agreement & Signature

Please review, consent, and sign to complete your application.
Digital Signature*

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Date of Submission*

MonthDayYear
Date
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Way Maker Chaplain Alliance Membership & Chaplain Endorsement Application

Way Maker Chaplain Alliance

Personal Information

Ministry Information

Chaplaincy Status

WMCA Membership

Endorsement Application

Theology & Ethics

References

Document Uploads

Agreement & Signature