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Personal Information
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Indicates required field
Applicant’s legal name:
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First
Last
Title: (e.g. Dr, Ven, Rev, etc):
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Applicant’s dharma name (if you have one)
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Is this a cell/mobile?
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Yes
No
Accept texts?
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Yes
No
Email
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Briefly State the reason you are applying for Chaplaincy Endorsement:
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Buddhist Affiliation
Are you a member of a Buddhist Sangha or Group?
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Yes
No
NAME OF GROUP LEADER (Roshi, Abbot, Teacher, etc):
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APPROXIMATE NUMBER OF MEMBERS OF THE GROUP?
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Do you have at least two years activity in a ministerial role as a member of a Buddhist sangha or group, or similar group?
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Yes
No
Describe what your involvement has been in the group you are a member of:
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GROUP NAME
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GROUP ADDRESS:
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Do you currently hold at least the level of Novice Buddhist Priest (or equivalent)?
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Yes
No
If not, are you prepared to receive ordination as a Novice Priest with FMZO?
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Yes
No
If no, please clarify why:
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Education
What is your education level? (e.g. BA/BS, MA, MDiv, PhD):
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Have you completed a Masters of Divinity that included specific education in Buddhism and/or Chaplaincy/Pastoral Care?
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Yes
No
If not, are you currently enrolled in such a program?
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Yes
No
Give details of the college/university you either obtained your MDiv at or are currently studying at:
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Have you completed a baccalaureate degree of not less than 120 semester hours at a recognized college or university?
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Yes
No
If so, what is the college/university name and address?
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If you do not have an MDiv but have an MA that included study of Buddhism and/or chaplaincy/ pastoral care, are you willing to take further classes to extend to MDiv equivalency?
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Yes
No
Respond to each of the following to show you acceptance:
Ministerial Fitness: All applicants are required to provide letters of recommendation from his/her Sangha leader and at least one of the following: a CPE Supervisor, Academic Advisor and/or Psychotherapist in support of his/her ministerial fitness.
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I agree
I disagree
Further, to become and to remain an endorsed BCE Chaplain the candidate must maintain active membership of a Buddhist community, be an actively practicing Buddhist, and either be employed as a chaplain or actively seeking such work.
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I agree
I disagree
Applicants are also required to successfully pass a background check and to satisfactorily fill out a document attesting to their history of good conduct befitting a Buddhist Chaplain, endorsed by BCE.
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I agree
I disagee
BCE requires that each applicant observes the values of diversity and respects beliefs and religions while practicing and maintaining an active role as a Buddhist cleric. BCE reserves the right to withdraw standing.
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I agree
I disagree
Chaplains are required to report to the BCE Abbot of Chaplaincy the moment they no longer meet one of these requirements and are made aware that this may result in the withdrawal of BCE endorsement.
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I agree
I disagree
I warrant that everything I have stated above is true and that I had paid the required application fee of $150.00 by PayPal, and do hereby submit my name to be considered for endorsement by BCE:
Signed (type your full legal name)
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Date
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