Reference Submission

Reference Submission - Chaplain

Chaplain Endorsement
Name of Applicant you are providing a Reference for*

First NameLast Name
Your Name*

First NameLast Name
Title Prefix

Mrs.Mr.Ms.Dr.Prof.Other
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
How long and in what capacity have you known the applicant?*
Do you know of any weaknesses the applicant may have that the Society should be aware of in reviewing this application?*
How would you assess the applicant's ability to represent humanism, including philosophies of scientific naturalism and human-based, rational ethics? (as represented in HMIII: https://americanhumanist.org/what-is-humanism/manifesto3)*
How would you assess the applicant's ability to work as a chaplain with individuals from a variety of backgrounds in different settings?*
I verify that all information submitted in this application is true to the best of my knowledge and that I understand that falsifying information may result in denial of endorsement.*

I Agree
Thank you very much for your cooperation. It is very important for this letter of reference to be completed and returned in a timely manner, as it is an integral part of the applicant's evaluation process.
Should be Empty:

Reference Submission - Chaplain