Please
fill out the information: version 2 |
|
Indicates
the information is required |
| |
|
|
Which
location would
you prefer to work in?
You can select more than one. |
First Preference |
|
| Second Preference |
Third Preference |
| |
|
|
|
First
Name : |
|
 |
|
|
|
Address : |
|
| |
Address 2
: |
|
|
City |
|
 |
State:
|
|
|
Zip : |
|
|
Phone: |
-
-
|
| |
E-mail: |
|
| |
Confirm E-mail:
|
|
| |
EDUCATION |
|
| |
Bachelor's
Degree from
an accredited institution |
|
| |
Master
of Divinity from American Theological Schools Accredited Institution: |
|
| |
Other
educational degrees or certificates: |
|
| |
|
|
| |
Ordination
(or in special cases commissioning) |
|
| |
|
| |
A
letter reflecting denominational endorsement and good standing will
be required for acceptance at a job interview. |
| |
|
| |
Clinical
Pastoral
Education
(at least one unit) |
|
| |
|
| |
Possible
CPE Equivalencies: AAMFT, AAPC, AMHC, Doctor of Ministry Degree |
| |
|
|
|
| |
List
Pastoral Experience (five years of pastoral experience preferred
at least two in clinical settings) |
| |
|
| |
|
|
| |
OTHER
ASSETS |
| |
Language
proficiencies, hospice involvement, awards, certifications, from
chaplains associations: APC, NACC, NAJC, ACPPE, etc. |
| |
|
| |
If you have a resume,
please insert it here.
|
| |
|
|