Application for Ecclesiastical Healthcare Endorsement

A Word About Endorsements

The Rev. Margaret Rose, ecclesiastical endorser for the Episcopal Church, facilitates the process of endorsement required for certification by certain professional associations. We work with your local bishop to see this process to its completion. Please fill out the information in each section as requested. You may send it electronically or print it out and fax or mail it to us. If you would like a copy for your records, please print it out before you click on the submit button. You should also send a copy to your bishop and be in contact with him or her during this process. If we can be of assistance please email us.

The Rev. Margaret Rose 
815 Second Avenue 
New York, NY 10017 
1-800-334-7626, ext. 6068 

mrose@episcopalchurch.org

If submitted electronically, you will receive a confirmation message from us shortly.

For which professional organization do you need ecclesiastical endorsement for healthcare ministry?
In what order of ministry do you function as a chaplain?
You must make your bishop aware of your desire to be endorsed as a healthcare chaplain before submitting this application. Have you done so? When? *
Date
You must complete your diocesan sponsored Sexual Misconduct Training before submitting this application. Have you done so? When? *
Date

Dates ordained (if applicable)

Diaconate
Priesthood
Are you willing to facilitate ministry to members of all faith groups, realizing that this may include worship by Muslim, Jewish, Native American, Buddhist and other faith traditions? *
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