To complete this application, fill in only the gray shaded boxes. Please do not change the formatting.
Once the application is completed, please save it on your computer and send it electronically to
. Attach a recent digital color photo of you and your family (where applicable).
There is a $100 processing fee for the chaplain application. You may pay online, call us at (800) 376-6856, or mail us a check at 2801 Wade Hampton Blvd., Suite 115-165, Taylors, SC 29687.
Please
use the form posted here in order to have the most current copy of the application.
If you are using Microsoft Office 2007, please save this document as a
.doc file rather than the default .docx file, before you send it to
us. To do this, under "Save As," click "Save as Type" and then choose
the .doc extension option.
If you have any questions, please call us at (800) 376-6856 or e-mail us at
.
