Apply for Endorsement with mPact

Read the “Becoming a Chaplain” page, especially the “Military Chaplain Requirements” section and the additional mPact requirements section.

Read the mPact Chaplain Handbook in its entirety Ensure you agree with our statement of faith and ensure you also agree with our guidelines for our chaplains and candidates.

Application Checklist

Proof of US citizenship.
Picture (head shot photo).
Completed application.
Transcripts for all degrees.
Letter of Enrollment in Seminary (For Chaplain Candidate Program)
Certificates for ministerial training such as CPE Certificate, CEUs, etc. if you have them.
Military data if current or prior service. (DD Form 214, evaluations, record briefs, etc.)

Background Check Fee ($100.00) (if no proof of current military clearance or recent extensive civilian criminal justice background check.)
Ordination Certificates
Clergy Application (if applicable)
Preaching DVD digital link if this is your initial application for endorsement as a chaplain.
Application Fee- $25.00 (Non-Refundable)

This application can be completed in stages if needed. Please use the button “Save & Continue Later” if you need to complete the application in multiple sessions. If you have any issues completing your application, please contact us.

"*" indicates required fields

Step 1 of 12

Check position(s) for which you are applying:*

Active Army

Active Navy

Active Air Force

Army National Guard

Air National Guard

Army Reserve

Navy Reserve

Air Force Reserve

Army Chaplain Candidate

Navy Chaplain Candidate

Air Force Chaplain Candidate

Veterans Affairs

Hospital

Correctional

Corporate

Personal Information

Name*

First Last

Height (inches)*

Weight (lbs)*

Please enter a number from 50 to 500.

U.S. Citizen*

Date of Birth*

MM slash DD slash YYYY

Last 4 of SSN*

Email*

Home or Mobile Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Personal Info - Cont.

Do you have any physical defects?*

Please explain*

Any major illness?*

Please explain*

Have you ever been hospitalized?*

Please explain*

Have you ever been charged or convicted of a criminal offense?*

Please explain*

Have you ever filed for bankruptcy or had any serious financial problems?*

Please explain*

Personal Info - Cont.

What are your hobbies?

Describe music ability

Describe athletic ability

Family & Marital Information

Martial Status*

Spouse Name*

First

Date Married

MM slash DD slash YYYY

Date of Birth

MM slash DD slash YYYY

To what extent does your spouse share your interest in the chaplaincy?

Do you or your spouse have a former living companion?*

Please explain*

Do you have any child(ren)?*

Child Info*

First Name

Last Name

DoB

Emergency Contact

Relationship*

Name*

First Last

Phone*

Email*

Ministerial & Spiritual Information

Date of Salvation*

MM slash DD slash YYYY

Date filled with the Holy Spirit*

MM slash DD slash YYYY

Are you currently licensed?*

When were you licensed?*

By Whom?*

Phone*

Are you currently ordained?*

When were you ordained?*

By Whom?*

Phone*

Local church affiliation*

Have you previously applied for approval for endorsement?*

What decision was made on your application?*

Total ministry experience*

Beginning with the present and working back

Church or Employer

City

Position Held

Dates Served

Education Information

College and Seminary training*

Include name of college/seminary, address, dates attended, major, number of hours and degree (if applicable).

Institution

Location

Degree

# of Hours

Please request colleges and seminaries send transcripts to:

mPact Churches ATTN:Chaplaincy
5117 Cliffdale Road
Fayetteville NC 28314

Do you have any units of Clinical Pastoral Education (CPE)*

# of Units

Other special training you have received to prepare for the Chaplaincy

Secular Occupational Information

Occupational experience (list most recent employers)*

Employer

Address

Position

Dates

Military Information

Previous active duty military service:

What is your current military status?*

Branch

From*

MM slash DD slash YYYY

To*

MM slash DD slash YYYY

Current Grade*

Grade at discharge

If discharged, type of discharge received:

Upload discharge document

Accepted file types: doc, docx, pdf, Max. file size: 5 MB.

If currently in a reserve unity

Unit

Location

Have you ever been rejected for military service?*

Please explain*

Consent

I hereby grant permission to mPact Churches to review my military record

References

General references (as indicated below, other than relatives). In order for us to obtain meaningful information from those who know you well enough to evaluate ministry talents, list at least one of each category below: (List your church membership, if other than with your pastor).

Current Pastor*

First Last

Position*

Phone*

Email*

Other Minister*

First Last

Position*

Phone*

Email*

College / Seminary / Other*

First Last

Position*

Phone*

Email*

Discussion

Explain how you came to saving faith in Jesus Christ.*

Explain how Christ has impacted your life.*

Please identify the gift(s) you have operated in through the empowerment of the Holy Spirit.*

How has God called you to the chaplaincy?*

How have you prepared, are you preparing, yourself for the chaplaincy?*

List, in order of priority, the major functions of a chaplain.*

What do you do most effectively as a minister?*

What do you do least effectively as a minister?*

Statement

Consent

I agree to this statement

1.I understand that I must meet each and every requirement for chaplains of the particular service to which I apply. All education must be accredited.

2. I understand that I will be investigated by the government as to background and police records as well as records of drug/alcohol abuse and diseases that might indicate moral laxity.

3. I understand that, if commissioned as a chaplain, I will be working alongside chaplains of other denominations and faith groups, sometimes differing widely with my own views and beliefs. While I will not be asked to compromise my own conscience and beliefs, it is essential, by the very nature of the chaplaincy, that I consider their ordination and ministry as valid in the U.S. military as is my own. I must be willing to hold collective Protestant worship services.

4. I understand that it is a requirement of the Armed Forces Chaplains Board, The Pentagon, Washington D.C. that my Endorsing Agency have the authority to issue and withdraw endorsement.

5. Endorsement is a continuing requirement. Should I prove to be personally and professionally, or by other reason unsuited for the chaplaincy and should the mPact Churches Endorser decide that my endorsement should be withdrawn, I agree to abide by its decision.

6. I understand that I am expected to authentically represent mPact Churches and its statement of faith, and without reservation confess Jesus Christ as Lord, Savior, and Baptizer of the Holy Spirit and to exercise my Spiritual gifts.

7.mPact Chaplaincy is a faith ministry. I understand that this means financial support is dependent on churches and individuals While mPact does not assess dues, I agree to allot a portion of my tithe to support this ministry.

Signature

By submitting this application and completing the application fee, you agree that the above is true and correct and provide consent for any necessary verifications and next steps.

Application Fee

Total

Credit Card*

Card Details

Cardholder Name

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