Please enable JavaScript in your browser to complete this form.Dear Friend: Thank you for your interest in the Alliance of Baptists (AOB) approval process to serve in a Chaplain Candidate program of one of the military service branches. The Chaplain Candidate process and applicants for approval fall under the guidance of the AOB endorser and endorsement council. Below you will find an outline of the approval application process and the application. A required Reference Form is available as a digital document on the Alliance of Baptists website. (https://allianceofbaptists.org/endorsementreference/). Please complete this application and supply all accompanying materials to the AOB endorser, at endorsement@allianceofbaptists.org. Within six weeks of submitting your application, a Council member will schedule a phone interview with you. The Council will review your application materials, the results of your interview, and contact you with a decision regarding approval. Approval to serve as a Chaplain Candidate is an official process by the Alliance of Baptists to discern whether a person meets the Alliance’s standards to serve in the specialized military training as a Chaplain Candidate. A Chaplain Candidate will be a full-time theological student in an ATS accredited school and participating in congregational life. The AOB will follow the maximum time limit set by the military service branch for maintaining the ‘approval’ status of a chaplain candidate. This form is one part of applying for Military Chaplain Candidacy with the Alliance of Baptists. Kindly read the Endorsement Manual carefully and submit this form and all other application materials. * = required field PrequisitesAll applicants must demonstrate a one-year relationship with the Alliance of Baptists in one of the following ways prior to application: -Individual membership and actively participating in the Alliance for one year -Membership in an Alliance-affiliated congregation for one year -Attend an Alliance of Baptists Annual Gathering and contact Alliance staff about approval within six months of attending the Annual Gathering. Please note that chaplain candidates will be expected to maintain individual membership at a giving level of at least $75 to the AOB per year. MaterialsThe following are required for your application for approval to be considered: A letter signifying active participation in the local congregation that is nurturing the applicant in faith and vocational identity for at least the two most recent years (if applicable, the congregation just before a relocation for seminary). You will upload this letter along with this application form. Completed Approval Application Form. Written reflections on the topics named below. You will upload these reflections with this application form. One Reference Form dated within the last six months from a professional reference. This will be completed by your professional reference at this link: https://allianceofbaptists.org/endorsementreference/ Kindly remember to check the spelling and grammar of your writing. Congregational Participation Letter * Click or drag a file to this area to upload. A) Please upload a letter from your local congregation signifying your active participation in the congregation’s life and minsitry. Life Story Reflection (1-2 pages) * Click or drag a file to this area to upload. A) Please upload an original 1-2 page reflection on your life story that includes the following: 1) Your family of origin, 2) The influences that have shaped you, and 3) The primary relationships that are important in sustaining you today. Faith Journey Reflection (3-4 pages) * Click or drag a file to this area to upload. B) Please upload an original 3-4 page reflection on your faith journey that includes at minimum the following: 1) What beliefs or primary spiritual values are important to you? 2) How do your beliefs shape your spiritual life and personal devotion? · How has your faith changed and grown as you are integrating your theological education and lived experience of faith? 3) Describe your sense of calling to the vocational ministry at this point. 4) How do you see theological education as significant for the practice of ministry? Identity and Relationship with Alliance Reflection (1-2 pages) * Click or drag a file to this area to upload. C) Please upload an original 1-2 page reflection on your identity and relationship with the Alliance of Baptists that includes the following: 1) When and why you became involved with the Alliance of Baptists 2) How will you stay engaged and nurture your relationship with the AOB while you are a student? Chaplain Candidacy Considerations (3-4 pages) * Click or drag a file to this area to upload. We recognize the U.S. Military Chaplain Candidate Programs are designed for individuals to explore their compatibility with and potential to serve as a military chaplain. While a full-time theological student, the Chaplain Candidate program is a time of spiritual, professional, and personal discernment. At the same time, a chaplain candidate is a commissioned officer and, as such, has terms of commitment specific to the service branch and to the oath of office as a military officer. The following questions give us a better understanding of your interest in a Chaplain Candidate program (3-4 pages): What about the Chaplain Candidate program interests you at this point? What is your understanding of the role of a chaplain candidate? What personal curiosity and theological questions do you take into the training of a chaplain candidate? What will you be able to draw from your background, your connection to the Alliance, your education thus far, and your faith experience to support your functioning as a chaplain candidate? How will you take care of yourself and meet your primary requirements as a full-time theological student? If you are already strongly considering military chaplaincy as a career, how are you thinking now about getting the congregational experience and ministerial requirements necessary for endorsement? (e.g., ministry in congregational life, ordination requirements, and CPE) Current Photograph * Click or drag a file to this area to upload. Please upload a current photograph of yourself.PART I: Personal InformationName *FirstLastAddress *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Citizenship *United StatesOtherIf other, please explain: *Date of Birth *Social Security Number *Driver's License Number *Driver's License State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingSeminary Institution *AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDegree Track/Focus *Date of Admission *Full-Time StudentYesNoWebsite *Congregational Connections Current Congregation as Student: *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Website/URL *Faith Community that has nurtured your spiritual life in the most recent two years prior to seminary: *Address (copy) *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone (copy) *Website/URL (copy) *PART II: Professional InformationWill you commit to the following if approved by the Alliance of Baptists to serve as a chaplain candidate?Employer (Most Recent/Current) *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeImmediate Supervisor *FirstLastJob Title *Email *Phone *Dates of Service *Do you have another employer to add?YesNoPrevious EmployerAddress (copy)Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeImmediate Supervisor (copy)FirstLastJob Title (copy)Email (copy)PhoneDates of ServiceCongregational/Spiritual Leadership Experience Please list any congregational/spiritual leadership experience you have here:Please include the following with each role: Organization Name, Address, Phone, Your Role/Title, and the Dates you served in this capacity.Additional Education/Training Please list any other Higher Education/Training/Degrees/Certificates here:Please include the following with each achievement: Degree/Status Awarded, Institution, Address, Year of Completion.Professional Certifications Please list any Professional Organizations with whom you are certiified here:Please include the following with each achievement: Organization Name, Address, Website, Membership LevelProfessional Licensure Please list any applicable licenses you currently hold here:Please include the following for each license: State Issuing the License, Field (LPC, LCSW, etc.), Expiration DatePART III: CommitmentsWill you commit to the following if approved by the Alliance of Baptists to serve as a chaplain candidate?Contact the Alliance of Baptists endorser upon any change, anticipated or unanticipated, in your status as a full-time student or a chaplain candidate. *YesNoHonor the terms of your agreement and expectations of your service branch chaplain candidate program, financial or otherwise. *YesNoAbide by the highest ethical and professional standards of an officer and a person of Christian faith who is in the educational process for ministry as a vocation. *YesNoContact the Alliance of Baptists endorser upon any legal or ethical concern raised about your functioning or behavior. *YesNoContact the AOB endorser for support or input if you have concerns about the functioning or behavior of someone else toward you or you believe you are functioning beyond the scope of a chaplain candidate. *YesNoSubmit an annual report of your experiences as a chaplain candidate (a notice is sent annually from the Alliance of Baptists endorser). *YesNoI acknowledge that I have read and understand the AOB Code of Ethics. *YesNoPART IV: NotificationPlease identify the candidate program and point of contact, including appropriate rank or title to whom a letter of approval would be sent. TItle/Rank *Service Branch *Address (copy) (copy)Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePoint of ContactFirstLastEmailPhonePart V: Ethical PracticeOutside of your place of employment, what professional organizations’ code of ethics do you subscribe to? *Are you in compliance with your code of ethics? *YesNoHave allegations of misconduct including but not limited to sexual harassment, exploitation or misconduct, physical abuse, child abuse, or financial misconduct led to civil, criminal, ethical, professional, or ecclesiastical complaint(s) being filed against you? *YesNoPlease include an explanation for each incident or action that caused you to answer “yes.” Please include the date, nature, and place of each incident; where and when each was adjudicated; or the disposition. Indicate steps taken toward resolution, if any. *Have allegations of misconduct including but not limited to sexual harassment, exploitation or misconduct, physical abuse, child abuse, or financial misconduct led to your resignation, termination or transfer from a position? *YesNoPlease include an explanation for each incident or action that caused you to answer “yes.” Please include the date, nature, and place of each incident; where and when each was adjudicated; or the disposition. Indicate steps taken toward resolution, if any. *Have allegations of misconduct including but not limited to sexual harassment, exploitation or misconduct, physical abuse, child abuse, or financial misconduct led you to resign, terminate or transfer from a position to avoid such charges? *YesNoPlease include an explanation for each incident or action that caused you to answer “yes.” Please include the date, nature, and place of each incident; where and when each was adjudicated; or the disposition. Indicate steps taken toward resolution, if any. *Have allegations of misconduct including but not limited to sexual harassment, exploitation or misconduct, physical abuse, child abuse, or financial misconduct led to your conviction of a misdemeanor or a felony? *YesNoPlease include an explanation for each incident or action that caused you to answer “yes.” Please include the date, nature, and place of each incident; where and when each was adjudicated; or the disposition. Indicate steps taken toward resolution, if any. *Has your driver’s license been suspended or revoked within the last five years due to reckless driving or driving while intoxicated and/or under the influence of a controlled substance? *YesNoIn your judgment, are there any facts or circumstances involving you or your background that would warrant further review before you are entrusted with the responsibilities of ministry on behalf of a calling body of the Alliance of Baptists? *YesNoPlease include an explanation for each incident or action that caused you to answer “yes.” Please include the date, nature, and place of each incident; where and when each was adjudicated; or the disposition. Indicate steps taken toward resolution, if any. *I recognize my responsibility to update this misconduct disclosure in a timely manner should there be a change of status in any of the issues named above. Signature * Clear Signature Date / Time *DateTimePart VI: Authorization for Release Of Personal Information, Confirmation of Accuracy of Statements, Indemnification of Alliance, and Release of Claims Against the AlliancePlease read and sign acknowledging you have read the Authorization for Release Of Personal Information, Confirmation of Accuracy of Statements, Indemnification of Alliance, and Release of Claims Against the Alliance.I am submitting this application to the Alliance as part of the Approval Process of the Alliance. I agree to cooperate with the Alliance, and to abide by all decisions of the Alliance. I understand and agree that the Alliance has the sole authority to grant or deny Approval, in its sole discretion, and that the decision of the Alliance to grant or deny approval is final and not subject to appeal or review. Further, if the Alliance should determine that my approval should be withdrawn, I agree to abide by that decision, which I agree shall be final and shall not be subject to review. I understand that there is no contractual right to approval by the Alliance, that the Alliance may decide to withdraw my recognition in its discretion at any time, and that I will have no legal claim of any kind against the Alliance as a result of any decision to grant, deny or withdraw approval. I confirm that the information provided on this application, and any information I may provide at any time during the application process, is accurate and complete. I understand that the Alliance will rely on the statements I am making in this application and during the application process. I agree that all of the information provided in this application and in the application process may be verified by the Alliance or anyone acting on behalf of the Alliance. I authorize the Alliance, or anyone acting on their behalf, to make any and all contacts necessary to verify my history of prior employment, and to inquire regarding any prior arrest, criminal records, professional, religious, or judicial proceedings involving me as a defendant. I authorize the Alliance, or anyone acting on their behalf, to make whatever contacts the Alliance considers necessary in order to obtain any other information the Alliance considers necessary in order to decide on my Application, including but not limited to contacting individuals, churches and organizations listed on this Application as references. I hereby authorize previous employers, any pastoral care organizations, and any religious judicatory and/or any law enforcement or judicial authority to release any and all requested information about me. I hereby authorize any individuals, churches, or other organizations listed on this Application to provide any and all requested information directly to the Alliance or anyone acting on their behalf. I agree to sign any additional authorizations that may be necessary for the Alliance to obtain this information. I will pay for any additional costs for the mandatory background check. I have thoroughly read this document, and I understand its terms. I understand fully that the information obtained from other parties may be used to deny my approval from the Alliance of Baptists. I understand that the Alliance has no independent obligation to verify the accuracy of any information received from those other parties. I understand and agree that having an approval to serve as a Chaplain Candidate by the Alliance of Baptists does not create any employment relationship with the Alliance, or establish any other kind of supervisory relationship with the Alliance. I agree that if I am approved to serve as a Chaplain Candidate by the Alliance of Baptists, I will not tell anyone that I have any kind of employment or supervisory relationship with the Alliance. I understand and agree that the Alliance is relying upon the accuracy and completeness of my statements in this Application, and during the Application process, in making any decisions about Approval. I agree to indemnify and hold harmless the Alliance against any claims against the Alliance based upon or arising from (i) any actions I may take during the time that I am Approved by the Alliance, or (ii) any information that I have supplied to the Alliance as part of this process. I agree to indemnify and hold harmless the Alliance against any claims based upon or arising from any statements that I may make that misrepresent the nature of my relationship with the Alliance. Finally, I hereby release any and all claims that I may have against the Alliance as a result of my Application for Approval, including without limitation claims based upon or arising from (i) actions that the Alliance may take in contacting any third-party as part of that process, or (ii) any actions that the Alliance may take during the time that the Alliance has granted me Approval, or (iii) any decision by the Alliance to deny Approval or to withdraw Approval once granted. Signature * Clear Signature Date / Time *DateTimePart VII: Alliance of Baptists Complaint PolicyPlease read and sign acknowledging you have read the Alliance of Baptists Complaint Policy.All complaints and reports of misconduct relating to Alliance of Baptists Endorsed Clergy or Alliance of Baptists Recognized Clergy will be handled as follows: Any member of the Alliance of Baptists Board, Alliance of Baptists staff or the Endorsing or Clergy Recognition Councils, who receives such information, shall promptly inform the President of the Alliance of Baptists of that information. Once the President has been informed, no further action shall be taken, except by the President, acting in consultation with legal counsel, or by legal counsel, as authorized by the Alliance of Baptists Board of Directors. After receiving such information, the President of the Alliance of Baptists shall promptly confer with legal counsel for the Alliance of Baptists, and take whatever action the President and legal counsel conclude is appropriate under the circumstances. The President of the Alliance of Baptists and legal counsel will consider how and when to consult with the Executive Committee and/or the full Board of Directors of the Alliance of Baptists, depending on the nature of the issues raised and the urgency of the matter. The President of the Alliance and legal counsel will consider whether consultation with the Clergy Recognition Council (for complaints regarding Recognized Clergy) or with the Endorsing Council (for complaints regarding Endorsed Clergy) is appropriate under the circumstances. The Alliance of Baptists’ response may include notification of Alliance of Baptists-affiliated congregations (for complaints regarding Recognized Clergy) or of certifying organizations and employers (for complaints regarding Endorsed Clergy), as is appropriate under the circumstances. This policy shall not apply to reports of misconduct by Alliance of Baptists Employees, Officers or Directors, which shall be governed by the existing Whistleblower Resolution and procedures. This policy shall be distributed annually to all Alliance of Baptists staff, all members of the Board of Directors of the Alliance of Baptists, all members of the Clergy Recognition Council and all members of the Endorsing Council. Each person receiving the Policy shall sign and return a copy indicating that they understand the policy, have complied with it, and will comply with it .As part of the annual renewal process, Recognized Clergy and Endorsed Clergy shall indicate that they understand this policy, have complied with it, and will comply with it. Signature * Clear Signature Date / Time *DateTimePart VIII: The Alliance of Baptists' Covenant and MissionPlease read and sign acknowledging you have read the Alliance of Baptists’ Covenant and Mission.We are a people of faith formed by a long tradition of dissent and historic Baptist freedoms. Celebrating this heritage, we seek to cultivate beloved community, claiming our identity within the body of Christ in the world and our solidarity with all creation. We welcome and affirm all persons with full respect to gender, sexual, racial, and ethnic identities. We hold space for all persons with varying abilities, social standing, or economic status. We lament that over time many of us have contributed to systems of racial, social, economic, and environmental injustice, privileging some while excluding others. As Baptists we confess that we have cherished independence from one another more than responsibility to one another and have allowed systemic injustices to flourish under the banner of individual freedom. We repent and seek transformation. Embraced in baptismal waters, we freely gather to follow the radical way of Jesus. As disciples we pledge to wrestle with scripture in community, practice shared leadership, preserve local church freedom, and promote religious liberty. Guided by the Spirit, we commit ourselves to: Make the worship of God central in our life together; Hold the earth sacred, practice creation justice, and Pursue God’s peace and love; Nurture spiritual formation and support theological education, Develop ministry, ecumenical, and interfaith partnerships, and Cultivate relationships of mutual respect and accountability; Act to dismantle systems of white supremacy, patriarchy, and abusive power, Raise prophetic voices for liberation and justice, and Work to eradicate poverty in all forms; Establish spaces of refuge and renewal with those who are wounded, Listen to and follow voices that have been silenced, and Break down barriers that divide us from each other and creation. We seek to live in joy, humility, and gratitude, welcoming the realm of God. Signature * Clear Signature Date / Time *DateTimePart IX: Covenantal Code of Ethics for Endorsed ClergyPlease read and sign acknowledging you have read the Covenantal Code of Ethics for Endorsed Clergy.As an endorsed clergyperson of the Alliance of Baptists, I make the following commitments: I will work cooperatively and collegially with those with whom I serve in the ministry to which I have been called. I will stand in a supportive relationship with my colleagues in ministry, offering and receiving counsel and support in times of need. I will maintain the highest ethical standards with colleagues, institutions, or congregations that employ me. I will recognize the power my ministry gives me and refrain from practices that are harmful to others and which endanger my integrity or my professional effectiveness. I will use my ministerial status, position and authority in ways that do not abuse, misguide, negatively influence, manipulate or take advantage of anyone, especially children. I will personally and professionally support persons who experience discrimination on the basis of gender, sexual identity, gender expression, race, ethnicity, age, marital status, national origin, religion, physical ability, or mental ability. I will seek to know, understand and respect the diversity of opinions, beliefs, and practices of others. I will be a good steward of that which God provides and handle my own finances and those of my partners in ministry and my place of employment honestly and with great care. I will seek to grow in faith, knowledge, and the practice of ministry through spiritual practices, study, professional development, and service. I will live a life that honors my commitments to myself and my loved ones, including the need for privacy, time apart, and time together. I will honor all confidences shared with me in my capacity as a clergyperson, unless not allowed by law, and I will maintain such confidentiality even when the pastoral relationship has ended. I will navigate transitions between ministries carefully to support the ministry of those who follow me as well as the well-being of those with whom I have had a pastoral relationship. With God’s help and the help of my colleagues in ministry, I make this covenant. Signature * Clear Signature Date / Time *DateTimePart X: Application ChecklistPlease mark acknoweldging that you have completed each portion of the application. Some portions, including payments, will be made outside of this application form.Checkboxes *Connection & identity with Alliance of Baptists demonstrated by one of the following: a) individual membership in the Alliance for at least one year before application or b) membership in an Alliance-affiliated congregation for one yearLetter signifying active participation in a local congregation that is currently nurturing your faith and vocational identity or in the last two years prior to seminary.Approval Application FormReflection – Life StoryReflection – Faith Journey, Beliefs, Spiritual LifeReflection – Chaplain Candidate considerationsReflection – Relationship with the Alliance of BaptistsCurrent PhotoReference Form sent to referenceSigned Authorization for Release of Personal Information, Accuracy of Statements, Indemnification of Alliance, and Release of Claims Against the AlliancSigned Alliance of Baptists Complaint PolicyApplication Fee for Background Check – $125.00Please Note: All application materials will remain confidential. 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