Volunteer Application

United States Corps of Chaplains - P.O. Box 390 - Clanton, AL 35046


Name:

 

Street Address:

City, State, Zip Code:

 

Social Security Number:

 

Email Address:

 

Birthdate:

 

Gender (M/F):

 

Marital Status:

 

Height:

                                 

Weight:

                                         

Eye Color:

 

Hair Color:

 

Daytime Phone:

                                 

Evening Phone:

Cell Phone:

 

FAX number:

                                         

Drivers License State and #:

                                                 

Drivers License Type:

 

Drivers License Expiration:

Website, if any:

  
What is your Occupation? What are your Hobbies? What is your highest education completed (high school, college, etc.)?

 

 What degree(s) do you hold, if any?

Areas of Interest

(Answer “Yes” to all that apply)

Command:

Chaplain Assistant:

Medical:

Communications:

Chaplaincy:

Veteran’s Assistance:

Public Affairs:

Administration:

Community Ministry:

Disaster Relief:

Transportation:

Honor Guard

Other Areas of Interest:

Approximate number of hours you can devote to volunteer service each week:

Are you a citizen of the United States?
Have you ever been arrested or had criminal charges filed against you? ______ (If Yes, please explain)

 
Are you currently Active Duty Military? If so, Branch: Rank:
Are you a Veteran? If so, Branch: Rank: Type Discharge:
Have you participated in a Military Funeral? If you are active military, or a veteran, what is/was your military specialty? (title, not MOS)
Do you understand that the USCOC is a non-sectarian Christian organization? Have you, and do you, profess Jesus Christ as your personal Lord and Savior?
What is your Christian affiliation or denomination? Are you currently in the Ministry? If so, number of years:
Are you an Ordained Minister? Ordained by: Number of years ordained:
List three Personal References with their with Names, Addresses, Phone numbers, and Email Address Reference 1

 

 

 

 

 Reference 2

 

 

 

 Reference 3

 

 

 
Referred or Recruited by: If you have a Yahoo Profile ID, list it here:

List any comments, your skills, training, ministerial experience, etc. below or on a separate page.