Civilian Chaplain Application


Click Here for a PDF version of the Application (this can be printed and filled out by hand)

Click Here for a Word version of the Application (this can be saved to your computer, filled out and printed or printed and filled out by hand)

Dear Prospective Civilian Chaplain,

We are glad you are interested in the Chaplaincy and are happy to help you in any way we can. This application packet is specifically designed for prospective chaplains serving in a civilian environment.

Provided here are the Application for Endorsement as Chaplain as well as four copies of the Reference Form. You will be required to provide four (4) references total from two ruling elders and two teaching elders from your presbytery. Also included in this packet is the Sample Letter For Presbytery Endorsements to Chaplaincy Ministry, which should be sent by your Clerk of Presbytery or the Chairman of the appropriate presbytery committee.

As the last step of the process, you will be required to complete a personal interview, which we will help you to arrange. Please let us know when you are ready to do so.

Please return all of the application information directly to me at the Marriottsville MD address provided on the forms. Thank you again for your interest and we look forward to working with you. If you have questions please feel free to contact us by phone at 678-825-1251 or by e-mail at chaplainministries@pcanet.org 

In His service
Doug Lee signature
Douglas E. Lee
Executive Director, PRCC 

Click Here for a PDF version of the Application (this can be printed and filled out by hand)

Click Here for a Word version of the Application (this can be saved to your computer, filled out and printed or printed and filled out by hand)