EPC CHAPLAINCY APPLICATION 

Thank you for your interest in serving as an EPC Chaplain. The Chaplain Endorser and Chaplains Works and Care Committee (CWCC) look forward to working with you.

Please fill out the application form below as completely as possible. If you have no response, mark it with a dash; if it doesn’t apply, put n/a.   For questions or concerns, contact Mark Ingles, EPC Chaplain Endorser, at

or 719-433-2747, or Bruce Alexander at

or 571-330-8177.

CIVILIAN CHAPLAIN

Step 1 of 3 - Personal Information

  • MM slash DD slash YYYY

  • A. PERSONAL INFORMATION

    Please use a dash (-) for any fields that are not applicable.
  • MM slash DD slash YYYY
  • (If no answer, leave blank)
    MM slash DD slash YYYY

  • B. FAMILY INFORMATION

    Please use a dash (-) for any fields that are not applicable.

  • C. EDUCATION INFORMATION

    Please use a dash (-) for any fields that are not applicable.
  • Enter mm/yyyy to mm/yyyy
  • Enter mm/yyyy to mm/yyyy
  • Enter mm/yyyy to mm/yyyy

  • D. MINISTRY INFORMATION

    Please use a dash (-) for any fields that are not applicable.
  • Enter mm/yyyy
  • Choose "N/A" if not applicable
  • Choose "N/A" if not applicable
  • Enter mm/yyyy
  • Enter mm/yyyy

  • E. OCCUPATION INFORMATION

    Please use a dash (-) for any fields that are not applicable.
  • List the type of ministry or position, church/institution and location, and dates.
  • If Yes, provide dates, business name(s), and summary of work.
  • If Yes, provide dates, school name(s), and subject(s) taught.

  • F. OTHER INFORMATION

    1. At the end of this form you will attach a Personal Reflection Paper (total: one page) briefly describing your testimony, call to chaplaincy, daily devotional time, and how you would describe yourself. Acceptable file formats: .doc, .docx, .pdf

    2. At the end of this form you will attach a one-page paper on the topic, “What is Reformed Theology?” Acceptable file formats: .doc, .docx, .pdf

    3. At the end of this form you will attach a recent photo of yourself. Acceptable file formats: .jpg, .gif, .png, .pdf

    4. Five CWCC-issued written references will be required; at least one of these references will receive a follow-up phone call. Reference forms will be sent to you after we receive your completed application packet. Your references must include a Teaching Elder and a Ruling Elder.

Save and Continue Later

Back to Top

Follow Us

Office of the General Assembly
5850 T.G. Lee Blvd., Suite 510
Orlando, FL 32822
(407) 930-4239
(407) 930-4247 fax
info@epc.org

OGA Staff Contacts