» Federal Chaplain Annual Report

For 2020, please complete the form below for the Chaplains Office. You will also need to complete the 2021 GCOM Standing Form.

Federal Chaplain Annual Report

Full Legal Name:

Address:

City

State/Province

Zip/Postal

Country

Phone Number:

Email Address:

Employer:

Branch:

Military Rank:

Component:

Ordination Region:

Ordination Date:

Current position and place of Duty:

500 word maximum

Comments (Is there anything you would like us to know confidentially):

500 word maximum

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Disciples Home Missions

P.O. Box 1986
Indianapolis, Indiana 46206

Federal Chaplain Annual Report