CME Chaplain Endorsement Application

CME Chaplain Endorsement Application
Welcome to the CME Chaplain Endorsement Application process. Before applying, please note that you will need the following to proceed:
- Ordination Certificate(s)
- Seminary Transcript (Or College If You Have Not Attended Seminary)
- CPE Certificates
- A Photo Of Yourself
These will need to be uploaded in order for your application to be complete.

You will also need to have your Presiding Bishop send an email to BishopSnorton@TheCMEChurch.org to confirm that you are in good standing.

Your application is not complete until this confirmation is received.

Please complete each space. If the query does not apply, put N/A.

Note: Please allow 14 business days to receive your certificate of endorsement after your application is complete.
FULL NAME

First NameLast Name
Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City, State, Zip Code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell phone number
Format: (000) 000-0000.
Email address
example@example.com
Episcopal District (drop down menu with choices of 1st through 11th)
Annual Conference/Region where you hold membership
Membership Status: (Choose one)

An fill out the field with the required information:
Local Preacher
( Identify Name Of Local Church )
Minister on Trial
( Year Admitted )
Full Connection
( Year Granted )
Ordination Dates
Deacon - Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Elder - Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current Role in Ministry in the CME Church (or primary place of worship)
Current Role in Chaplaincy including Employer and if full-time, part-time or volunteer
CPE Completed (Location, Dates, # of units)
Other Certifications
Reason you are requesting this endorsement (check all that apply)

Other
If You Chose "Board Certification, Other" - Please Specify Your Certification
If You Chose "Other" As The Reason You Are Requesting This Endorsement Please Specify What That Reason Is
Have you been previously endorsed, if so, when and by whom?
Other information or comments:
Upload Your Ordination Certificate Here:

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Upload Your Seminary Transcript Here ( Or College If You Have Not Attended Seminary )

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Upload Your CPE Certificates Here

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Upload A Photo Of Yourself Here ( JPG, JPEG, PNG, GIF )

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Please have your Presiding Bishop send an email to BishopSnorton@TheCMEChurch.org to confirm that you are in good standing.
ONE LAST THING BEFORE YOU HIT SUBMIT. In order for your endorsement to remain in effect, you are required by the CME Book of Discipline to do the following:
- Remain in Good Standing in your CME Annual Conference/Region
- Membership in CME Chaplains Organization
- Annual Report to Endorser and Presiding Bishop
- Attendance at in-service sessions offered two times per year
Should be Empty:

CME Chaplain Endorsement Application

Membership Status: (Choose one)

Ordination Dates

Please have your Presiding Bishop send an email to BishopSnorton@TheCMEChurch.org to confirm that you are in good standing.

ONE LAST THING BEFORE YOU HIT SUBMIT. In order for your endorsement to remain in effect, you are required by the CME Book of Discipline to do the following: