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. Only Florida Baptist Chaplains need to complete this form.

Name: Address:

City: State: Zip Code:

Email: Phone: Cell:

I am I am My Birthday:

My Church Membership: City:

Date I was baptized: I am Southern Baptist:

Have you served as a chaplain before? Where?

Church/Denominational Activities:

My highest level of education:

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.

Date:

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