Florida Baptist Convention
Volunteer Chaplaincy
When you complete the Basic Application you will be entered into our database and become a part of the Florida Baptist Chaplains Network. You will also receive notice of all training and fellowship activities planned for chaplains and their spouses.
Name: Address:
City: State: Zip Code:
Email: Phone: Cell:
I am Liscensed Ordained Layperson I am Single Married Divorced Widowed My Birthday:
My Church Membership: City:
Date I was baptized: I am Southern Baptist: Blank yes no
Have you served as a chaplain before? Blank yes no Where?
Church/Denominational Activities:
My highest level of education: Blank High School Vocational School College Seminary Post Graduate Studies
I have special training in
Describe your personal encounter with Jesus Christ.
How do you share your faith?
Why do you want to be a volunteer chaplain?
Thank you for completing the Basic Application. Please email a recent photo (color preferably, but black and white OK) to Marc Johnston, 1230 Hendricks Ave., Jacksonville, Fl 32207
Date: Mth 1 2 3 4 5 6 7 8 9 10 11 12 Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2009 2010 2011 2012 2013 2014
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