Type of Chaplaincy*

Military Chaplaincy Application

Institutional Chaplaincy Application

Community Chaplaincy Application

Community (Lay) Chaplaincy Application

Personal Information

Name*

First Middle Last

What area of institutional chaplaincy are you considering?*

What area of community service chaplaincy are you considering?*

Branch of service:*

Prior military service?*

Yes

Branch:*

Prior service dates:*

Rank at discharge:*

Have you notified your pastor of your interest in lay-chaplaincy ministry?*

Yes

Phone*

Email*

Address*

Street Address City State ZIP / Postal Code Country

Age*

Date of Birth*

MM slash DD slash YYYY

Place of Birth*

City State / Province / Region Country

Are you a U.S. citizen?*

Yes

Citizenship type:*

Natural born

Naturalized

Marital status:*

Married

Single

Wife's full name:*

First Middle Inital Last

Wife's date of birth:*

MM slash DD slash YYYY

Date of marriage:*

MM slash DD slash YYYY

Have either of you been divorced?*

Yes

Approximate date of receiving Christ as Savior:*

MM slash DD slash YYYY

Date of baptism:*

MM slash DD slash YYYY

Are you ordained, licensed or commissioned?*

Yes

By what church are you ordained, licensed or commissioned?*

Please include copies of ordination, licensing or commissioning certificates.

Max. file size: 100 MB.

Sending/Commissioning Church

Name of sending/commissioning church*

Address of sending/commissioning church*

Street Address City State / Province / Region ZIP / Postal Code Country

Church you are currently attending (if different from sending church)

Is your home church in fellowship with the General Association of Regular Baptist Churches?*

Yes

Do you subscribe without reservation to the doctrinal statement of the GARBC?*

Yes

In what ways does the church you currently attend differ from the GARBC doctrinal positions?*

Academic Training/Service

School

Dates

Degrees

School

Dates

Degrees

School

Dates

Degrees

School

Dates

Degrees

Professional or ministry certifications?*

In what Christian service have you been involved?*

In what ministry roles have you been involved?*

Church name & address

Dates

Church name & address

Dates

Church name & address

Dates

Church name & address

Dates

(Two years pastoral or church-related Christian service required before ecclesiastical endorsement will be granted.)

References

Give name and address; please do not use family members.

Reference #1: Your pastor

Reference #1 Name*

First Last

Reference #1 Email*

Reference #1 Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Reference #2: A church leader

Reference #2 Name*

First Last

Reference #2 Email*

Reference #2 Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Reference #3: An acquaintance

Reference #3 Name*

First Last

Reference #3 Email*

Reference #3 Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Questions on Practice/Calling

What is your practice concerning tobacco?*

What is your practice concerning marijuana?*

What is your practice concerning alcoholic beverages?*

In what ways do you feel called of God to chaplaincy?*

Doctrinal Statement

Please state in your own words your views on each of the following points of doctrine and give appropriate Scripture verses.

Do you believe in the inspiration of Scripture in every word and every part?*

In what ways does the authority of Scripture apply to your life?*

What is your understanding of the Trinity?*

State your beliefs concerning the Person and work of Christ:

Please state in your own words your views on each of the following points of doctrine and give appropriate Scripture verses.

His incarnation*

His virgin birth*

His sinless life*

His vicarious, substitutionary suffering and death*

His resurrection*

His ascension and present ministry*

His second coming (give the two phases)*

What is your understanding of the timing of the rapture?*

State your beliefs concerning the Person of the Holy Spirit:

Please state in your own words your views on each of the following points of doctrine and give appropriate Scripture verses.

His ministry to the unbeliever*

His ministry to the believer*

The gifts of the Spirit*

The baptism and filling of the Holy Spirit*

Final Doctrinal Questions

Please state in your own words your views on each of the following points of doctrine and give appropriate Scripture verses.

What is your understanding of spiritual gifts in the church today?*

What is your understanding of creation/evolution?*

How does sin impact mankind’s relationship with God?*

What must a person believe to be saved? Give several Scripture verses (reference only).*

How would you lead a sinner to an acceptance of Christ as Savior?*

Do you believe in the eternal security of the believer? Give three Scripture verses to support.*

Please state your attitude regarding personal separation of life.*

Confirmation/Signature

Upload a wallet sized photo of yourself*

Max. file size: 100 MB.

Please type your full name to sign*

By writing my name, I agree to electronically sign this form.

Date*

MM slash DD slash YYYY

Military Chaplaincy Application

Institutional Chaplaincy Application

Community Chaplaincy Application

Community (Lay) Chaplaincy Application

Personal Information

Sending/Commissioning Church

Academic Training/Service

References

Reference #1: Your pastor

Reference #2: A church leader

Reference #3: An acquaintance

Questions on Practice/Calling

Doctrinal Statement

State your beliefs concerning the Person and work of Christ:

State your beliefs concerning the Person of the Holy Spirit:

Final Doctrinal Questions

Confirmation/Signature

Other Ministries

Regular Baptist Ministries

Regular Baptist International

Regular Baptist Generate

Regular Baptist Press

Resources

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