Chaplaincy Ministries

Pearl of the Orient International Auxiliary Chaplain Values Educators Inc.

Application Form

First name*Middle initialLast name*Ext. name

Email address*

Mobile / phone number*

Civil status*Gender*Nationality*

Date of birth*Age*

Location (Region / Province / Municipality / Barangay)*

Emergency contact name*Emergency contact mobile*

Church / Organization affiliationChurch address

Current position / role*If Others, please specify

Height (optional)Weight (optional)Blood type (optional)

Color of eyes (optional)Color of skin (optional)SSS number (optional)

TIN number (optional)Skills / talents (optional)

Preferred branch/es of service (optional)

If Others, please specify (optional)

Format for all levels: Name of School / Course / Year Graduated

Elementary (optional)Secondary (optional)Tertiary / College (optional)

Post-graduate studies (optional)

Format: Role/Position | Institution | Years

Role/Position #1InstitutionYears

Please provide one person who endorses your application.

Name*Relationship*Contact number*

Applicant's signature

I do hereby certify that all information above is true and correct with the best of my knowledge.

I do hereby agree that I will contribute and support the monthly pledge required for the chaplain's operational expenses, program, and activities.

Final endorsement and membership approval will be communicated to you by the leadership.

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