ࡱ> EGBCD#` rbjbj\.\. w>D>D) 222$t___P`` bffffLh>jRk$hz52oHhLhoo5ffhqqqo8f2fqoqq6w2xfb K_osxyd؁0x@o<8x2xklq8mtmkkk55-qXkkkoooo  DN"R?d  NR?V$z Chaplain ApplicationPart 1: Personal InformationName (Last, First, MI)CAP IDCharter Number FORMTEXT       FORMTEXT       FORMTEXT      Mailing AddressE-mail Address FORMTEXT       FORMTEXT      Date of Birth (Month, Day, Year)Title (Rabbi, Father, Dr, Rev, Bishop, Pastor, Imam, etc.) FORMTEXT       FORMTEXT      Day Phone (Include Area Code)Night Phone (Include Area Code)Cell Phone (Include Area Code) FORMTEXT       FORMTEXT       FORMTEXT      Part 2: EducationA. Name of CollegeLocation of College (City & State)Major Subject Studied FORMTEXT       FORMTEXT       FORMTEXT      Dates Attended (From  To)Did You GraduateDate of GraduationFor Official Use FORMTEXT       FORMDROPDOWN  FORMTEXT      B. Name of SeminaryLocation of Seminary (City & State)Major Subject Studied FORMTEXT       FORMTEXT       FORMTEXT      Dates Attended (From  To)Did You GraduateDate of GraduationFor Official Use FORMTEXT       FORMDROPDOWN  FORMTEXT      C. Name of Graduate SchoolLocation of Graduate School (City & State)Major Subject Studied FORMTEXT       FORMTEXT       FORMTEXT      Dates Attended (From  To)Did You GraduateDate of GraduationFor Official Use FORMTEXT       FORMDROPDOWN  FORMTEXT      D. Name of School OtherLocation of School Other (City & State)Major Subject Studied FORMTEXT       FORMTEXT       FORMTEXT      Dates Attended (From  To)Did You GraduateDate of GraduationFor Official Use FORMTEXT       FORMDROPDOWN  FORMTEXT      Part 3: Religious AffiliationName of Your Faith Group or Denomination FORMTEXT      Name of Your Religious SuperiorSuperior s Telephone Number (Include Area Code) FORMTEXT       FORMTEXT      Name of Person Who Endorses Chaplain s For Your GroupEndorser s Telephone Number (Include Area Code) FORMTEXT       FORMTEXT      Part 4: CAP Staff CoordinationDate File Given to Wing Chaplain Date File Sent to NHQ PersonnelDate File Reviewed at NHQ HCA FORMTEXT       FORMTEXT       FORMTEXT       Name of ReviewerDate Applicant Appointed as CAP Chaplain Date Entered into Personnel ComputerDate Certificate and Information Mailed FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Notes FORMTEXT      For Assistance, Contact Your Wing ChaplainReference CAPF 35 Instruc(*,8:fhpr     ɸo[G['jhyKhaOJQJU^J&jhaOJQJU^JmHnHu'jhyKhaOJQJU^JhyKhaOJQJ^J!jhyKhaOJQJU^Jh7 ha6 h7 hah7 ha5hvha5h35CJaJh7 ha5CJaJ ha5:h %bha5:CJaJh %bha5CJaJhD5CJaJ*,fs X $Ifgdvkkd$$Ifs0`'' t0'44 saytd$ X xx$Ifa$gdvRlpfh X $Ifgdvkkdl$$Ifs`'' t0'44 saytd < naaa X $Ifgdvkd$$IfsF/i `': t0'    44 saytd   * , . 8 : < > | ~    ӿ񣛣ӇsӣniaYnh7 hD5h7ah7a6 h7a5 hD5'jhyKhaOJQJU^J'jhyKhaOJQJU^Jh7 ha5hvha5&jhaOJQJU^JmHnHu'jthyKhaOJQJU^JhyKhaOJQJ^J!jhyKhaOJQJU^JhyKha5OJQJ^J< > ^ | naa X $Ifgdvkd$$IfsF/i `': t0'    44 saytd| ~ tt X $Ifgdv~kd$$Ifs0`' t0'44 saytd  tt X $Ifgdv~kd$$Ifs0`' t0'44 saytd  0 V n ΙΙ}u}u}u}m\OhyKhaOJQJ^J!jhyKhaOJQJU^Jhvha5h7 ha6h7 ha5'jhyKhDOJQJU^J&jhDOJQJU^JmHnHu'j&hyKhDOJQJU^JhyKhDOJQJ^J!jhyKhDOJQJU^JhvhD5h7 hD5h7ah7a6h7ahD6 tt X $Ifgdv~kd$$Ifs0 `'S  t0'44 saytd  X ttt X $Ifgdv~kd$$Ifs0 `'S  t0'44 saytd  naaa X $Ifgdvkd$$IfsF >`'S c "  t0'    44 saytd     6 8 N \ ^ v ڹڹڹڹڹ}upuf_fUfuh7 ha6@ h7a5@h7 ha5@ h7a5h7 ha5h7 ha5CJaJhvha5'j, hyKhaOJQJU^J'jhyKhaOJQJU^JhyKhaOJQJ^J&jhaOJQJU^JmHnHu!jhyKhaOJQJU^J'jDhyKhaOJQJU^J! 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Level I completed on: FORMTEXT      CPPT completed on: FORMTEXT      Additional comments by the Commander: FORMTEXT      Rank and Name of Squadron Commander: FORMTEXT       FORMTEXT       FORMTEXT      SignatureTelephone Number (Include Area Code)NOTE: Squadron Commanders are reminded that community clergy can work with Cadets in local squadrons provided they are (a) escorted at all times by a CAP Officer, and (b) their name has been given to the Wing Chaplain. Clergy can only work in this capacity a maximum of 6 months with a local squadron. (Reference CAPR 265-1.)  SIGNATURE OF WING COMMANDER The Wing Commander will review the application and approve or disapprove the application. This form will then be returned to the Wing Chaplain who will forward the completed file to NHQ CAP/HC. If the application is disapproved it will be returned to the applicant by the Wing Chaplain. I have reviewed the documents attached to this form and, to the best of my knowledge, find that the applicant meets the educational and approval standards to be appointed as a CAP Chaplain.  FORMTEXT       FORMTEXT      Signature of Wing CommanderDate Signed SIGNATURE OF WING CHAPLAIN I have reviewed the documents attached to this form and, to the best of my knowledge, find that the applicant meets the educational and approval standards to be appointed as a CAP Chaplain. Moreover, I have interviewed the applicant either in person or through a telephone conversation and find this person to be suitable for appointment.  FORMTEXT       FORMTEXT      Signature of Wing ChaplainDate SignedWing Chaplains are to send this completed folder to: NHQ CAP/HCA 105 S. 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