Application

United States Chaplains Corps

Application for Membership

By completing and submitting this Application for Membership in the Chaplains Corps, you attest that all statements made therein are true and accurate. We thank you for your interest and encourage your active participation in the mission and ministries of the Chaplains Corps.

Legal Name (First Name, M.I., Last Name)
Preferred Name or Nickname
Street Address
City
State
Zip Code
Home Phone
Daytime Phone
E-mail Address
Date Of Birth - (MM/DD/YYYY)
Gender
Marital Status
Were you referred by someone?
If yes, by whom?
Are You a U.S. Citizen?
Military Service
Branch
If a Veteran - Type of Discharge
Are you an Ordained Minister?
Religious Preference (For Demographics Only)
Which Programs Interest You?	Check all that Apply
Chaplain
Administration
Transportation
Communications
Public Affairs
Counseling
Community Programs
Ordination/License/Comm
Community Hospital Programs
Nursing Home Programs
Veterans Programs
Veterans Funeral Assistance
Other Areas Of Interest
Education
Skills, Training, etc.
Additional Comments:
Signature (Type exactly as Legal Name listed above)
Date Signed (MM/DD/YYYY)

Please print a copy of this application before you submit it and mail it to:

Chaplain Bjerke

137 Cottonwood Canyon Road

La Luz, New Mexico 88337

THE CHAPLAIN'S ROLE

1.CHAPLAIN HAS MORE ROLES THAN ANY OTHER OFFICER, ESPECIALLY IN SENSITIVE AREAS.

2.CHAPLAIN IS MORE VISIBLE THAN MOST OFFICERS, THEREFORE HE/SHE MUST BE CREDIBLE, BE PROFESSIONALLY COMPETENT, "READ IN" ON THE MILITARY FUNCTION, KNOW THE MISSION, BE CONCERNED WITH THE TOTAL ENVIRRONMENT.

3.CHAPLAIN NEEDS TO KNOW MILITARY ASSETS AND SYSTEMS, AND HOW TO USE THEM.

4.IN HIS/HER COUNSELING, THE CHAPLAIN SHOULD EMPHASIZE PROFESSIONAL AS WELL AS SPIRITUAL ASPECTS. HE/SHE SHOULD BE A POSITIVE FORCE IN THE COMMAND.