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  • Application For Volunteer Chaplain - Sampsonrmc.org

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Application for Volunteer Chaplain Sampson Regional Medical Center Thank you for your interest in becoming a Volunteer Chaplain in our Spiritual Care Program at Sampson Regional Medical Center. Enclosed.

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How to fill out the Application For Volunteer Chaplain online

Completing the Application For Volunteer Chaplain is an essential step in joining the Spiritual Care Program at Sampson Regional Medical Center. This guide provides clear, step-by-step instructions to help you fill out the application accurately and thoroughly.

Follow the steps to complete your application successfully.

  1. Click the 'Get Form' button to access the application form and open it in your preferred editor.
  2. Begin by entering your personal information. This includes your name, mailing address, email address, and phone numbers (home, cell, and work). Make sure all information is accurate to avoid any communication issues.
  3. Provide details about the church or faith community you are currently serving or attending. Fill in the name, address, and phone number for each church, and indicate the number of resident members.
  4. Answer the questions regarding your pastoral status, including whether you have applied for a clergy identification badge at Sampson Regional Medical Center, if you are a full-time pastor, and if you are replacing another minister.
  5. Complete the education section by listing your school, degree, year of graduation, denominational affiliation, and relevant dates concerning your ordination or licensure.
  6. Outline your previous chaplaincy experience and clinical pastoral education, including dates and units completed.
  7. Describe your gifts of ministry that you will contribute to the Chaplaincy Program. This is an opportunity to elaborate on your skills, experiences, and how you envision serving the community.
  8. Provide at least two references, ensuring that one may be a personal reference. Include their names and phone numbers.
  9. Read the statement regarding adherence to the standards, policies, and procedures of Sampson Regional Medical Center and the Pastoral Care Program. Sign and date the application.
  10. If applicable, have your Official Board Chairperson or Lay Denominational Leader complete the certification section. Ensure they sign and provide their contact information.
  11. Review your application for any errors or omissions, then save your changes. You may download, print, or share the completed form as necessary.

Take the next step in your volunteer journey by completing the Application For Volunteer Chaplain online today.

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We are a 146-bed community hospital, located in Clinton, N.C. Hospital services include acute care, outpatient surgery, emergency medicine, and intensive care.

Shawn Howerton M. is the Sampson Regional Medical Center's CEO.

To receive your medical records, you must complete the Authorization for Use or Disclosure of Protected Health Information form. Requests may be submitted by mail or fax to SampsonRMC's Health Information Management (HIM) department.

Jerry Heinzman - Chief Financial Officer at Sampson Regional Medical Center, Incorporated | The Org.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232