CHAPLAINCY

APPLICATION

Full Name of Applicant

Date of Birth

Email Address

Phone

Gender

Male

Female

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country of Citizenship

Ethnicity

Campus/Business Referral (if applicable)

Destiny School of Ministry

West Ohio Christian Chamber of Commerce

SPIRITUAL PROFILE

Name of Home Church

Denomination

Church Address

Pastors Name

Church Phone Number

EDUCATION

High School Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

High School Graduation Date

Type of Diploma Received

College or University Name #1

Graduation Date

Degree Received

College or University Name #2

Graduation Date

Degree Received

EMPLOYMENT

Name of Workplace and Job Title (if employed)

If you have no employment experience, please explain here.

REFERENCES

List 3 references that are able to provide information concerning you as an applicant.

Full Name of Reference #1

Phone

Relationship to Applicant

Full Name of Reference #2

Phone

Relationship to Applicant

Full Name of Reference #3

Phone

Relationship to Applicant

BASIC BIBLE EXAM

Please read the question and provide a response in the spaces provided. Each response should be about a paragraph in length. Your responses will be evaluated based upon their compatibility with a biblical worldview, as well as being formulated in a succinct manner.

1. In a short statement, present your understanding of God as a Trinity.

2. The identity of Jesus Christ is often described as Him being the “God-Man.” Please explain.

3. Provide a summary of your understanding of the Creation story.

4. Was the Bible authored by God? Man? Please explain.

5. Briefly describe the events of the fall of man and its ongoing consequences for every individual.

6. Explain the Bible’s view of how an individual experiences salvation.

7. Provide a short description of your understanding of heaven and hell.

8. Do you believe that the Devil is a literal, spiritual being? Briefly describe your answer and why you think this is important for the lives of believers.

9. Explain your understanding of the following sacraments: Baptism & Communion.

10. Provide a summary of your own personal salvation story.

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E-Signature: I certify the above information is accurate and truthful in all regards.

Your Signature

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SPIRITUAL PROFILE

EDUCATION

EMPLOYMENT

REFERENCES

BASIC BIBLE EXAM

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