| Name |
Age |
Denomination |
Baptized |
| Name |
Age |
Denomination |
Baptized |
Record of Confirmation
CHAPLAIN’S RECORD OF CONFIRMATION
(To be kept by the Chaplain)
____________________________________________
Full Name
was confirmed (received) by
The Rt. Rev.________________________________
Bishop of___________________________________
at__________________________________________
Installation
on__________________________________________
Date
Presented by Chaplain_______________________
THE CONFIRMAND WAS
Born________________________________________
Date
Baptized in the _____________________ Church
(Denomination)
on or about_________________________________
Date
____________________________________________
The Office of the Bishop for Federal Ministries
was requested to transfer this record to:
____________________________________________
Name of Parish, City, State
TO: OFFICE OF THE BISHOP FOR FEDERAL MINISTRIES
815 Second Ave., New York, NY 10017
This is to certify that
____________________________________________
Full Name
Was confirmed on____________________________
Date
at__________________________________________
Installation
by the Rt. Rev._____________________________
Bishop of___________________________________
Presented by Chaplain_______________________
Born________________________________________
Date
Baptized in the _____________________ Church
(Denomination)
on or about_________________________________
Date
____________________________________________
It is requested that the record of the above confirmation
be officially transferred to:
____________________________________________
Name of Parish City State
by the Office of the Bishop for Federal Ministries
and that the Parish notify the Confirmand at the
following address:
___________________________________
___________________________________
____________________________________________
For office use only:
Date transfer was made______________________
Date reply received_________________________
Chaplain Reports
Use to report of change of address, phone
number, etc.
This report
is due 30 June and 31 December each year to the
Bishop Suffragan for Federal Ministries. A copy
should also be sent to the bishop of the diocese
in which the Chaplain is canonically resident.
Reports filed electronically will receive a quick
e-mail acknowledgement that the report has been
received.
Request for a Lay
Ministry License
Date:
From:
(Name, Grade, Branch of Service)
To: Bishop
Suffragan for Federal Ministries, The Episcopal
Church Center, 815 Second Ave., New York, NY 10017
Subj: REQUEST FOR LAY MINISTRY LICENSE
1. In accordance with Title III, Canon 3,
of the Episcopal Church it is requested that the following
individual be licensed to the lay ministry indicated:
Name
Address
Home phone
Office phone
0 Lay Reader 0 Lay Preacher
0 Pastoral Leader 0 Catechist
0 Lay Eucharistic Minister (0 at the altar only; 0 for those
unable to attend; 0 both).
2. Previous licensure:
0 He/she was previously licensed by the Bishop
for Federal Ministries in (year) for .
0 He/she was previously licensed by the Bishop of in for
.
3. He/she
completed the Lay Minister’s Study Course
of the Bishop for Federal Ministries on .
(date)
4. Describe the Episcopal program (and if
there is no assigned Episcopal chaplain, the location of
the closest Episcopal chaplain or civilian priest).
5. I understand
that any license issued by the Bishop for Federal
Ministries is valid only while I am the supervising
Chaplain and for a period not to exceed one year
with an annual expiration date of 31 October.
6. My denomination is . My unit and assignment
are . My office phone number is and my address is
_____________________________
Signature of Sponsoring Chaplain
Lay Minister’s
Annual Report Form
OFFICE
OF THE BISHOP FOR FEDERAL MINISTRIES
THE EPISCOPAL CHURCH CENTER
(800)
334-7626 x 6065
815 Second Avenue (212) 716-6065
New York, NY10017-4503 Fax: (212) 867-1654
Year ending 31 October
Name
Address
Home phone Office phone
Supervising Chaplain
Name, Grade, Branch of Service
Address
Denomination Office phone
For the past year I was licensed as
Description of Ministry (include statistics and, if possible,
photos; use a separate sheet if desired):
I expect to be transferred to .
(Date Location)
I am no longer serving: 0 Yes 0 No.
I desire to have my license renewed: 0 Yes 0 No.
Signature of Lay Minister
Signature of Supervising Chaplain
Record of Marriage
/ Declaration of Intention
RECORD OF MARRIAGE
BRIDEGROOM__________________________________
Address______________________________________________
City, State, ZIP_____________________________________
Military Affiliation_________________________________
Date of Birth_________ Place_________________________
Father's Name________________________________________
Mother's MAIDEN Name ________________________________
Baptized_________ Denomination_______________________
Confirmed________ Denomination_______________________
Number of Marriage_____ OBAF Consent Required?_______
BRIDE_______________________________________
Address______________________________________________
City, State, ZIP_____________________________________
Military Affiliation_________________________________
Date of Birth_________ Place_________________________
Father's Name________________________________________
Mother's MAIDEN Name ________________________________
Baptized_________ Denomination_______________________
Confirmed________ Denomination_______________________
Number of Marriage_____ OBAF Consent Required?_______
DATE OF MARRIAGE____________________________
PLACE OF MARRIAGE___________________________
WITNESSES:
(1) _______________________________________
Address: ___________________________________
___________________________________
(2) _______________________________________
Address: ___________________________________
___________________________________
Date Bishop’s consent obtained (if
necessary):_______
OFFICIATING CHAPLAIN________________________
(Print or type name)
________________________
(Signature)
ORIGINAL: Office of the Bishop Suffragan for Federal
Ministries, 815 Second Avenue, New York, NY 10017
COPY: Chaplain
In the Name of the Father, and of the Son,
and of the Holy Spirit. Amen.
____________________________________
and
____________________________________
desiring to receive the blessing of Holy
Matrimony in the Church, do solemnly declare that we hold
marriage to be a lifelong union of husband and wife as it
is set forth in the Book of Common Prayer.
We believe that the union of husband and
wife, in heart, body, and mind, is intended by God for their
mutual joy; for the help and comfort given one another in
prosperity and adversity; and, when it is God's will, for
the procreation of children and their nurture in the knowledge
and love of the Lord.
And we do engage ourselves, so far as in
us lies, to make our utmost effort to establish this relationship
and to seek God's help thereto.
____________________________________
Signature of Groom
____________________________________
Signature of Bride (Maiden name)
Dated_____________________________________ A.D.______
Re-marriage Petition
Form
Office
of the Bishop Suffragan for Federal Ministries
Petition to the Bishop for Consent to Solemnize a Marriage
after Divorce or Annulment
Chaplain Date
Address
City, State, ZIP
Telephone
I petition for consent to solemnize the
marriage of:
(a) (Groom)
0 Prior marriage ended in divorce or annulment
0 Not previously married
Statement of groom's church membership/affiliation:
(denomination and status, i.e., baptism, confirmation, etc.):
Statement of groom's military or government service status:
(b) (Bride)
0 Prior marriage ended in divorce or annulment
0 Not previously married
Statement of bride’s church membership/affiliation:
(denomination and status, i.e., baptism, confirmation, etc.):
Statement of bride’s military or government service
status:
(Circle "Yes" or "No"
to every question below. Where "No" is circled,
attach a full explanation.)
Yes No 1. I have met with both parties and I am engaged
in a program of premarital counseling with them; or, they
have met with a priest of this church and I am assured that
they have participated in a program of premarital counseling
with the priest.
Yes No 2. Each party has signed the Declaration of Intention.
(A copy is attached.)
Yes No 3. At least one of the persons is baptized.
Yes No 4. I have inquired of the parties whether they have
consulted any other priest of this church regarding the
proposed marriage and if they have, I have consulted with
that priest before submitting this petition. (A brief note
concerning this is attached.)
Yes No 5. I have personally examined the final decree(s)
of divorce or annulment and I certify that on the basis
of my examination the prior marriage(s) (is)(are) lawfully
dissolved.
Yes No 6. At least one year has passed since the granting
of the final civil decree(s) of divorce.
Yes No 7. All matters of property and custody have been
settled.
Yes No 8. I believe each has realistically faced and evaluated
the cause(s) of the deaths of the previous marriage(s).
Yes No 9. I am satisfied that each party has an adequate
continuing concern for the previous spouse(s) and children.
Yes No 10. I have thoroughly discussed each party's personal
readiness for marriage with them, or such discussion has
occurred in a counseling program.
Yes No 11. I have discussed with this couple, to the degree
I believe to be appropriate, differences, if any, in age,
income, religious discipline, patterns of conflict, (or,
such discussion of those issues has occurred in a counseling
program satisfactory to me).
Yes No 12. I believe the marriage of this couple is likely
to be a demonstrable sign of the spiritual union between
Christ and His church.
Yes No 13. I believe these parties intend a true Christian
marriage.
Yes No 14. I am satisfied that the couple (or at least one
party with the support of the other) intends to live out
their marriage with the support of the Christian community
as participants in a worshipping community of the church.
Yes No 15. I am willing to solemnize the marriage if consent
is granted.
(Question 16 only pertains to situations
where either one or both persons have been divorced, or
had a marriage annulled, more than once.)
Yes No 16. I have received a statement from a professional
counselor evaluating this couple's relationship regarding
a lifelong, caring marriage. The statement is attached.
Include a copy of the signed Declaration
of Intent and a brief pastoral synopsis of the situation,
being sure to explain any no answers to questions 1-16.
I hereby certify that these persons on (date)
have signified to me their desire to be married on (date)
at (place), which is a 0 civilian church or 0 military chapel.
I request the Bishop’s consent for
me to solemnize this marriage.
(Signature of the chaplain submitting petition) Date
a.
Pastoral needs of Episcopal chaplain(s) and family(ies)?
b.
Ecclesiastical issues or concerns?
c.
Issues with command or agency?
a. Whom will your visitor meet? In what context?
—People
Context?
—Military/Agency leadership, Major command chaplains
—Local Anglican/Episcopal leadership, Fellow chaplains,
Local clergy, Episcopal laity
—Personnel or families you serve
—Community leadership
b. What will your visitor do?
Some
examples:
—State of the Church address: When? Where? To whom?
—Preach or officiate at worship: When? Where? With
whom? What vestments?
—Public address at function: What? When? Where? To
whom?
—Lead retreat: What? Where? For whom?
—Give meditation: What? For whom?
—Baptize: When? Where? How many? (Chaplain will have
prepared them) What vestments?
—Confirm: When? Where? How many? What vestments?
—Participate in public worship: When? Where? What
vestments?
c. Where will your visitor stay?
—VIP
quarters?
—BOQ?
—Civilian hotel/motel?
—Other?
Telephone
numbers where your visitor can be reached (please provide
the numbers as if you were calling from New York):
i. Day
b. For
hosts, driver, etc.
Any
special information required to contact host, driver, etc.?
Generally, your visitor will be unfamiliar with the local
area. Having an assigned driver who knows the itinerary
and knows how to get from one event to the next greatly
reduces logistical headaches. This is especially true when
linking with air transportation or official events requires
tight scheduling.
a.
Jet lag: the first day after travel should be kept free
or only lightly scheduled.
b.
Provide time daily for prayer, reflection and rest.
c.
Health conscious meals are preferred.
Offerings
received during the Bishop’s visit may rightly be
designated for the Bishop’s discretionary fund and
so announced.
6. Anything else we should know?
This
includes requirements for area clearance, medical issues,
etc. The more fully informed your visitor is prior to arrival,
the more successful and less stressful the visit will be
for all concerned.
OFFICE OF THE BISHOP FOR
FEDERAL MINISTRIES
THE EPISCOPAL CHURCH CENTER
The Episcopal Church Center (800) 334-7626
x 6065
815 Second Avenue (212) 716-6065
New York, NY10017-4503 Fax: (212) 867-1654
Please send the following supplies to:
Date
Chaplain
Address
City, State, ZIP
Telephone
| Quantity |
Item |
Cost
per item |
Total
cost |
| |
Armed
Forces Prayer Book |
$4.00
|
|
| |
Service Crosses |
$3.00* |
|
| |
Baptism
Record Forms |
FREE |
|
| |
Marriage
Record Forms |
FREE
|
|
| |
Confirmation
Record Forms |
FREE |
|
| |
Holy
Eucharist (congregation copy) |
FREE |
|
| |
Baptism
Certificate |
FREE
|
|
| |
Confirmation
Certificate |
FREE
|
|
| |
Marriage Certificate |
FREE
|
|
| |
|
|
|
| |
|
TOTAL |
|
|
Signature
Acknowledgements
The Rev. William C. Noble, CH (LTC) USA
(Ret.), Executive Assistant to Bishop Keyser, produced the
Chaplaincy Guidelines. In 2003, CAPT George M. Clifford
III, CHC, USN, greatly revised and augmented the Chaplaincy
Guidelines. This work was initiated and overseen by the
Rt. Rev. George E. Packard, Bishop Suffragan for Chaplaincies.
Bishop Packard then commissioned Ms. A. Bowie Snodgrass
to edit this entire work. This Chaplain’s Handbook
is the result of these most recent revisions.
Additional
acknowledgement should be given to the Rev. Gerald
J. Blackburn, CDR, CHC, USN (Ret.), current Director
for Federal Chaplaincies, who repeatedly proof-read
and oversaw this revision project; and to The
Rev.Gary J. Parker, CDR,CHC, USN (Ret.), who proposed
a reorganized structure for the Guidelines in
the summer of 2001.
