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Police Chaplain Application

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Personal Information

Gender
Race
Ethnicity
Preferred method of contact
Proficiency type
ASL proficient
Are you a United States Citizen?

 

Religious Background & Ministry Credentials

Are you currently in good standing with your religious body/denomination?
Unlimited number of files can be uploaded to this field.
Allowed types: doc docx pdf.
7 MB limit per file. The accumulated size of all files in this form cannot exceed 80 MB.

 

Availability & Interest

Availability for Call-Outs (check all that apply)
Area(s) of Interest / Specialized Chaplaincy (check all that apply)

 

Military Service

Have you ever been in the Military?
If Yes,
Branch
Type of Discharge
Did you serve in military chaplaincy?

 

Background Screening

Have you ever been arrested or charged with any crime?
Have you ever paid for an illegal sex act?
Have you ever had any involvement with child pornography?
Have you ever used, tried, possessed, or experimented with marijuana?
Have you ever used, tried, possessed, or experimented with any other illegal drugs?
Have you ever sold or delivered any amount of illegal drugs?
Have you ever been involved in any other criminal activity that has not been detected?

 

References & Endorsements

One file only.
Allowed types: doc docx pdf.
7 MB limit per file. The accumulated size of all files in this form cannot exceed 80 MB.
One file only.
Allowed types: doc docx pdf.
7 MB limit per file. The accumulated size of all files in this form cannot exceed 80 MB.
One file only.
Allowed types: doc docx pdf.
7 MB limit per file. The accumulated size of all files in this form cannot exceed 80 MB.