I hereby authorize any civilian agency, Department of Defense agency, military department, military chief of chaplains and their respective office, my organization, or supervisor, whether military or civilian, to provide any and all non-medical information related to my service, including, but not limited to, opinions concerning my character or fitness for ministry, (including unfavorable information, if any) to the Chaplain Endorser and Chaplains Work and Care Committee (CWCC) of the Evangelical Presbyterian Church (EPC), and I hereby release any individual or civilian agency, any Department of Defense agency, military department, military chief of chaplains and their respective office, my organization or supervisor, whether military or civilian, providing such information, from any and all liability for damages of whatever kind or nature which may exist at any time on account of compliance or any attempts to comply with this authorization, excepting only the communication of knowingly false information.
This authorization and release are given in consideration of the review of my application for endorsement or the continuation of endorsement.
A scan, facsimile, or photocopy of this authorization shall be considered valid as an original.
This authorization and release shall be in force from date of execution for as long as I remain on the roster of the Chaplains Work and Care Committee of the EPC.
