Please Note: Documents will be sent to the address you list below, please make sure you list the address where you want your documents to be sent.

Name: ___________________________________________ Date: ______________________

Address: ____________________________________________________________________

City: _______________________________ State: ___________Zip Code: _______________

Home Phone (____) _____________________Business Phone (___)____________________

Email Address: _______________________________________________________________

Date of Birth: ________________________ Age: _____________ Sex: __________________

Marital Status: [ ] Single [ ] Married [ ] Divorced [ ] Remarried [ ] Other

Hair Color: __________ Eye Color: ____________Height: _________Weight: ____________

Current Driver License or State ID #: __________________________State: _____________

Veteran: [ ] Yes [ ] No - Your Present Occupation: _________________________________

Are you credentialed for ministry? [ ] Yes [ ] Licensed [ ] Ordained [ ] NO

If so, what Church or Denomination? ____________________________________________

How did you find out about us? ________________________________________________

Who recommended CFMM to you: ______________________________________________

Have you ever been convicted of a felony? [ ] Yes [ ] No -If yes please explain on the back of the application. This does not mean you will not be approved! We are very understanding, many of us have had our own problems.

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Please Note: Make sure you read this application very carefully before signing. No application will be considered or processed without this application being completed in full, signed dated and all required documents must be included. All memberships, License, ID cards must be renewed each year on or before the renewal date located on your membership certificate and ID Card.

Please be sure to provide the following with your application: With your application provide a resume of sort, detailing what you would like to do to help those who are in pain or suffering. Include any documents and ministerial experience you have, if you have none, Please tell us anything you feel that would help us understand your need to become a member or to be endorsed by Chaplain Fellowship Ministries. We are recruiting people that know how to walk the walk, so we are very understanding to your calling. We are looking for those who know how to give from the heart for the Glory of God, Not man.

1. One passport photo, nothing else will be accepted. The quality of your ID card will depend on the quality of the photo you submit with your application.
2. Two letters of reference from someone that knows you and your efforts to help the suffering & needy.
3. Identification must be verified, forward with your application a photocopy of your Current driver's license or State ID card.

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I am requesting ordination, license and certificate of title. For the initial donation of $95.00 you will hold basic membership and ordination with Chaplain Fellowship Motorcycle Ministries as long as you are in good standing. Your initial donation covers document production, mailing cost, recording of all documents, and will help the stability and advancement of the ministry. You will receive the following.

1. Certificate of Membership with official seal & ribbons
2. Certificate of Ordination with official seal & ribbons
3. Certificate of License with official seal & ribbons
4. Certificate of Title as a chaplain with official seal & ribbons
5. Chaplain Photo ID card.

6. I am requesting ordination, license and certificate of title. My donation of ______$95.00 is enclosed, I do understand my membership must be renewed each year before the expiration date.

7. This year I am making a monthly commitment of at least ____$10.00 ___$20.00 ____$40.00 ____$50.00 ____$75.00 ____$100.00 __________Or More for the stability and advancement of Chaplain Fellowship Ministries.

8. I can not make a monthly commitment for the stability and advancement of Chaplain Fellowship Motorcycle Ministries. I am making a one time donation of ____$10.00 ___$20.00 ____$40.00 ____$50.00 ____$75.00 ____$100.00 for the stability and advancement of the ministry.

Signature is required: _______________________________

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Unscriptural conduct, failure to maintain membership requirements, or doctrinal departure from the tenets of faith, shall be considered sufficient Grounds upon which any person may be disqualified and removed as a member. Such discipline shall be prayerfully administered according to Scriptures by the Governing Board of Directors (Matt. 18:15-17; Rom. 16:17; 1 Cor. 5:9-13; 2 Thess. 3:6). I understand that if I am ever charged with, accused of, investigated for, moved or removed because of, or transferred to another position because of alleged criminal and/or sexual and/or ethical misconduct that this document authorizes my employer or volunteer chaplaincy organization to release all information to Chaplain Fellowship Motorcycle Ministries or their designated investigating agency.

I further understand that Chaplain Fellowship Motorcycle Ministries and all associate Churches, ministries, ministers and Chaplains shall not be held liable for any damages caused by the misuse or misrepresent of my qualifications, credentials or experience. Please Note: New membership packages may take up to 3 to 4 weeks for delivery once received in our office.

Signature Is Required: _____________________________ Date: _______________

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Personal information is not published, sold or given to outsiders: All personal information given is Strictly Confidential; it is only used for confirmation of your endorsement and certification which is logged in our legally licensed Ministers ledger and recorded for duly authorized ministry verification purposes only. Any alterations to this form will cause it to be void and application will not be considered. In such case the application will be returned to the applicant along with any donations made for consideration for the requested membership renewal and membership will not be re-considered.

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All funds must be in US funds: Make checks or money orders payable to: Chaplain Fellowship Motorcycle Ministries, Mail your completed application with your check or money order to the office listed below. God bless you, and Thank You!

Chaplain Fellowship M/M
15453 Amber Pointe Drive
Victorville, CA 92394-5531

Attn: Documents

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For ministry office use only

Date Application was received: _________________

Date Application was reviewed: _________________

Date vote was taken: _________________________

Approved on: _______________________________

Disapproved on: ____________________________

CFMM File No: ______________________________

Signatures of Senior Staff Members reviewing application.

Chaplain: ______________________________________

Chaplain: ______________________________________

Chaplain: ______________________________________

Chaplain Fellowship Motorcycle Ministries is a faith based Christ centered Public Christian Charity with Chaplains, Pastors, Priest and Ministers working worldwide. The requirements and information required within this application shall be subject to change without notice. Chaplain Fellowship Motocycle Ministries reserves the right to refuse membership, ordination, license by directive of the board of directors without cause.