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 Chaplain Ordination Application
Chaplain Ordination Application 


Chaplain Ordination Ceremony
Saturday, November 8, 2025
11:00 a.m.
International Church of Las Vegas Chapel
8100 Westcliff Dr.
Las Vegas, NV 89145
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Chaplaincy Nevada/Capellanía de Nevada
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Last Name/Apellido Legal:
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Date of Birth/Fecha de Nacimiento: 

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Place of Birth:/Lugar de Nacimiento:
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Employed by:/Empleado Por


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Last 4 digits Social Security Number (SS#):      or       Last 4 digits  Individual Taxpayer Identification Number  (ITIN#):

Los últimos cuatro dígitos del número de seguro social o los últimos cuatro dígitos del número de identificación del contribuyente individual:

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Required: Driver's License: State     ID#
Requerido: Licencia de Conducir: Estado     ID#

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Felony: 

Felon:  

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No/No
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add "Other"
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Type of Felon/Tipo de Felon   

Not Apply                                                                              NA - No Aplica

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Year/Ano

Not Apply                                                                              NA - No Aplica

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Arrested for a crime involving children/Sexual misconduct:    

Arrestado por un delito que involucra a niños.

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No/No
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Year/Ano

Not Apply  

NA - No Aplica


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Currently under Probation 

Actualmente bajo libertad condicional

Not Apply                                                                              NA - No Aplica

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Year/Ano

Not Apply                                                                              NA - No Aplica


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Currently under Parole 

Actualmente bajo libertad condicional

Not Apply                                                                              NA - No Aplica

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Year/Ano

Not Apply                                                                                    NA - No Aplica


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I am seeking to become an Ordained Chaplain: 

Estoy buscando ser un capellan ordenado.

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No/No
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I have graduated from the Basic Certification Class: 

Me gradué de la clase de certificación basica.

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No/No
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add "Other"
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I understand that Ordination is a Religious Sacrament and as an ordained member of Clergy I am held to a higher standard. 

Entiendo que la ordenación es un sacramento religioso y, como clerigo ordenado, debo atenerme a un estandar mas alto.

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No/No
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or
add "Other"
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I have been Water Baptized: 

He sido bautizada en agua.

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No/No
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add "Other"
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I believe in the Holy Trinity, the Father, Son, and Holy Spirit. 

Creo en la Santisima Trinidad el Pade el Hijo y el Espiritu Santo.

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No/No
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or
add "Other"
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I am a Christian who believes in the inherent Word of God. Matthew 4:4 man is to live by every word that proceeds out of the mouth of God. 

Soy un cristiano que cree en la palabra inherente de Dios como dice Mateo 4:4, Jesus respondió: Esta escrito: "El hombre no vivirá solo de pan, sino de toda palabra que sale de la boca de Dios."

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No/No
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or
add "Other"
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Jesus answered, "I am the way and the truth, and the life. No one comes to the father except through me.  John 14:6

Jesus respondió: Yo soy el camino, la verdad y la vida: nadie viene al Padre, sino por mi.

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No/No
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or
add "Other"
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I understand that Messages of Faith Ministry is a Traditional Christian Ministry that adheres to the confines of the Judeo Christian Holy Bible as the Holy Word of God: 

Entiendo que el ministerio Mensajes De Fe, es um ministerio cristiano tradicional que se adhiere a los confines de la Santa Biblia judeo-cristiana como la santa palabra de Dios.

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No/No
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or
add "Other"
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I believe in the inherent Word of God as truth and conduct myself according to its principles. 

Creo en la palabra inherente de Dios como verdad y me conduzco de acuerdo con sus principios.

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No/No
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or
add "Other"
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I have read the Chaplains Online Code of Conduct located at the bottom of the Staff Policy page at http://www.chaplaincynevada.org/Advisory-Board.html  and I agree and will adhere to it.  

He leido el código de conducta en linea de los capellanes que se encuentra en la parte inferior de la pagina de politicas del personal y estoy de acuerdo y lo cumplire.

http://www.chaplaincynevada.org/Advisory-Board.html

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No/No
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or
add "Other"
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 I understand that I have the opportunity to apply for Phase 2 training and Chaplains Ordination, and I understand that it does not guarantee me the ordination sacrament.  

Entiendo que tengo la oportunidad de solicitar la capacitación de la Fase 2 y la ordenación de capellanes y entiendo que no me garantiza el sacramento de la ordenación.

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No/No
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add "Other"
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I understand there is no fee for the Ordination class or Ceremony, that my materials will be sent by email for downloading, and that the materials cannot be shared, copied, traded, sold, or otherwise used without permission.  

Entiendo que la clase o ceremonia de ordenación es gratuita. Mis materiales se enviarán por correo electrónico para su descarga y no se pueden compartir, intercambiar, vender ni utilizar sin permiso.

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No/No
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or
add "Other"
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I have answered each and every question in truth and honesty.  

He respondido a todas y cada una de las preguntas con verdad y honestidad.

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No/No
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add "Other"
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I understand that I will need a pastoral recommendation for Chaplaincy Ordination.  

Entiendo que necesito recomendación pastoral para la ordenación de capellanía.

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No/No
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or
add "Other"
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Upload Pastoral Recommendation for Chaplaincy Ordinatio with your name and date in PDF format.
Example:
Sue Smith Pastoral Recommendation 2.22.2025

Sube tu Recomendación Pastoral para la ordenación de capellano con nombre y fecha en PDF format.

Ejemplo:
Sue Smith Senior Chaplaincy Essay 2.22.2025
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Digital Signature:
(Type Name)
Date:


Escribe tu firma/Fecha

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First Name/Primer Nombre
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Last Name/Apellido Legal:
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Email/Correo Electrónico:
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Phone Number/Número de Teléfono:
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Address/Dirección:
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City & State/Ciudad y Estado
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Zip Code/Código Postal:
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Date of Birth/Fecha de Nacimiento: 

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Place of Birth:/Lugar de Nacimiento:
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Church/Iglesia


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Pastor/Pastora


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Employed by:/Empleado Por


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Marital Status/Estado Civil:

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Last 4 digits Social Security Number (SS#):      or       Last 4 digits  Individual Taxpayer Identification Number  (ITIN#):

Los últimos cuatro dígitos del número de seguro social o los últimos cuatro dígitos del número de identificación del contribuyente individual:

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No responses yet for this question.

Required: Driver's License: State     ID#
Requerido: Licencia de Conducir: Estado     ID#

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No responses yet for this question.

Felony: 

Felon:  

Copy chart
No responses yet for this question.

Type of Felon/Tipo de Felon   

Not Apply                                                                              NA - No Aplica

Copy chart
No responses yet for this question.

Year/Ano

Not Apply                                                                              NA - No Aplica

Copy chart
No responses yet for this question.

Arrested for a crime involving children/Sexual misconduct:    

Arrestado por un delito que involucra a niños.

Copy chart
No responses yet for this question.

Year/Ano

Not Apply  

NA - No Aplica


Copy chart
No responses yet for this question.

Currently under Probation 

Actualmente bajo libertad condicional

Not Apply                                                                              NA - No Aplica

Copy chart
No responses yet for this question.

Year/Ano

Not Apply                                                                              NA - No Aplica


Copy chart
No responses yet for this question.

Currently under Parole 

Actualmente bajo libertad condicional

Not Apply                                                                              NA - No Aplica

Copy chart
No responses yet for this question.

Year/Ano

Not Apply                                                                                    NA - No Aplica


Copy chart
No responses yet for this question.

I am seeking to become an Ordained Chaplain: 

Estoy buscando ser un capellan ordenado.

Copy chart
No responses yet for this question.

I have graduated from the Basic Certification Class: 

Me gradué de la clase de certificación basica.

Copy chart
No responses yet for this question.

I understand that Ordination is a Religious Sacrament and as an ordained member of Clergy I am held to a higher standard. 

Entiendo que la ordenación es un sacramento religioso y, como clerigo ordenado, debo atenerme a un estandar mas alto.

Copy chart
No responses yet for this question.

I have been Water Baptized: 

He sido bautizada en agua.

Copy chart
No responses yet for this question.

I believe in the Holy Trinity, the Father, Son, and Holy Spirit. 

Creo en la Santisima Trinidad el Pade el Hijo y el Espiritu Santo.

Copy chart
No responses yet for this question.

I am a Christian who believes in the inherent Word of God. Matthew 4:4 man is to live by every word that proceeds out of the mouth of God. 

Soy un cristiano que cree en la palabra inherente de Dios como dice Mateo 4:4, Jesus respondió: Esta escrito: "El hombre no vivirá solo de pan, sino de toda palabra que sale de la boca de Dios."

Copy chart
No responses yet for this question.

Jesus answered, "I am the way and the truth, and the life. No one comes to the father except through me.  John 14:6

Jesus respondió: Yo soy el camino, la verdad y la vida: nadie viene al Padre, sino por mi.

Copy chart
No responses yet for this question.

I understand that Messages of Faith Ministry is a Traditional Christian Ministry that adheres to the confines of the Judeo Christian Holy Bible as the Holy Word of God: 

Entiendo que el ministerio Mensajes De Fe, es um ministerio cristiano tradicional que se adhiere a los confines de la Santa Biblia judeo-cristiana como la santa palabra de Dios.

Copy chart
No responses yet for this question.

I believe in the inherent Word of God as truth and conduct myself according to its principles. 

Creo en la palabra inherente de Dios como verdad y me conduzco de acuerdo con sus principios.

Copy chart
No responses yet for this question.

I have read the Chaplains Online Code of Conduct located at the bottom of the Staff Policy page at http://www.chaplaincynevada.org/Advisory-Board.html  and I agree and will adhere to it.  

He leido el código de conducta en linea de los capellanes que se encuentra en la parte inferior de la pagina de politicas del personal y estoy de acuerdo y lo cumplire.

http://www.chaplaincynevada.org/Advisory-Board.html

Copy chart
No responses yet for this question.

 I understand that I have the opportunity to apply for Phase 2 training and Chaplains Ordination, and I understand that it does not guarantee me the ordination sacrament.  

Entiendo que tengo la oportunidad de solicitar la capacitación de la Fase 2 y la ordenación de capellanes y entiendo que no me garantiza el sacramento de la ordenación.

Copy chart
No responses yet for this question.

I understand there is no fee for the Ordination class or Ceremony, that my materials will be sent by email for downloading, and that the materials cannot be shared, copied, traded, sold, or otherwise used without permission.  

Entiendo que la clase o ceremonia de ordenación es gratuita. Mis materiales se enviarán por correo electrónico para su descarga y no se pueden compartir, intercambiar, vender ni utilizar sin permiso.

Copy chart
No responses yet for this question.

I have answered each and every question in truth and honesty.  

He respondido a todas y cada una de las preguntas con verdad y honestidad.

Copy chart
No responses yet for this question.

I understand that I will need a pastoral recommendation for Chaplaincy Ordination.  

Entiendo que necesito recomendación pastoral para la ordenación de capellanía.

Copy chart
No responses yet for this question.
Upload Pastoral Recommendation for Chaplaincy Ordinatio with your name and date in PDF format.
Example:
Sue Smith Pastoral Recommendation 2.22.2025

Sube tu Recomendación Pastoral para la ordenación de capellano con nombre y fecha en PDF format.

Ejemplo:
Sue Smith Senior Chaplaincy Essay 2.22.2025
No responses yet for this question.
Digital Signature:
(Type Name)
Date:


Escribe tu firma/Fecha

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