Chaplains and Pastoral Counselors Request for Update Endorsement

Name(*)
Invalid Input

Preferred Title

Invalid Input

Residence Address(*)
Invalid Input

Residence Phone (*)
Invalid Input

Primary Email(*)
Invalid Input

Alternate/Business Email
Invalid Input

Business Address(*)
Invalid Input

Business Phone(*)
Invalid Input

Date of Birth (MM/DD/YY)(*)
Invalid Input

Place of Birth (*)
Invalid Input

Are you seeking CBF endorsement to an employing agency or service provider?(*)
Invalid Input

Position 1:(*)

Invalid Input

Name of Agency(*)
Invalid Input

Administrator/Director of Employing Agency(*)
Invalid Input

Address(*)
Invalid Input

Your Immediate Supervisor(s)(*)
Invalid Input

Your Endorsed Position(*)
Invalid Input

Employment Status

Invalid Input

VA Chaplains:

Invalid Input

Position 2: (*)

Invalid Input

Name of Agency(*)
Invalid Input

Administrator/Director of Employing Agency(*)
Invalid Input

Address(*)
Invalid Input

Your Immediate Supervisor(s)(*)
Invalid Input

Your Endorsed Position(*)
Invalid Input

Employment Status

Invalid Input

VA Chaplains:

Invalid Input

Military Application is for:

Invalid Input

**** IF MILITARY CHAPLAIN: Please fill out the following for DD FORM 2088

Number of Years of Professional Experience Applicant has Completed
Invalid Input

Number of Months of Prior Active Military Service Applicant has Completed - Officer
Invalid Input

Number of Months of Prior Active Military Service Applicant has Completed - Enlisted
Invalid Input

Last 4 Digits of SSN# (Required for DD 2088)
Invalid Input

Current Rank
Invalid Input

Present Church Membership
(For endorsement, CBF encourages active involvement in a local Baptist church. If you have changed church membership or if you are in the process of changing church membership, please have the new church notify us at chaplaincy@cbf.net)

Church Name (*)
Invalid Input

Church Address(*)
Invalid Input

Pastor's Name(*)
Invalid Input

Church Phone (*)
Invalid Input

Church Fax
Invalid Input

Church Email(*)
Invalid Input

Church Website
Invalid Input

Current CBF Involvement
(For endorsement, CBF encourages your knowledge of, identification with and membership in CBF. The CBF Constitution defines membership in CBF as [1] membership in a church that financially supports CBF or [2] individual membership by making personal contribution to CBF.)

Is your church identified with or supportive of CBF?(*)
Invalid Input

If so, how?

Invalid Input

If church is not identified with or supportive of CBF, are you an individual member of CBF?
Invalid Input

In what ways have you been involved with CBF? (Check all that apply.)(*)

Invalid Input

Would you be willing to be a part of the CBF Speakers Bureau?
Invalid Input

Is your church dually aligned with another faith group (e.g., SBC, Alliance of Baptists, ABC, Progressive, National, etc.)?(*)
Invalid Input

If yes, what group(s)?
Invalid Input

In making this application, I recognize the Council on Endorsement to be the agency designated to endorse qualified members of the Cooperative Baptist Fellowship as chaplains to military and civilian agencies, as pastoral counselors, and as other ministers in specialized settings, and agree to cooperate with the Council on Endorsement in carrying out its policies and programs, including the timely submission of annual reports. I also recognize that it is the responsibility of the Council on Endorsement of CBF to grant and/or to withdraw endorsement. Therefore, should I prove by temperament, disposition, attitude, conduct or otherwise to be unsuited for endorsement in the opinion of the Council on Endorsement of CBF and should it decide my endorsement should be withdrawn, I agree to abide by its decision.

Electronic Signature(*)
Invalid Input

Church Locator



church-locator

Ministry Networks

 

ministry-networks

Resources

 

bible

Our Location & Contact

Cooperative Baptist Fellowship

160 Clairemont Avenue, Suite 500
Decatur, GA 30030

800.352.8741

fellowship@cbf.net

Contact Us

Get the Latest News

please enter a name
please enter a valid email address
Invalid Input
Invalid Input
Please select a subscription

Refresh
Invalid Input

Other Fellowship Ministries

Visit other Fellowship Ministries:

Church Benefits Board

Cooperative Baptist Fellowship Foundation