Application to be a Chaplain in the  U.S. Military

All those interested in joining the U.S. Military as Chaplain should please fill out the following form.

Read the Letter of Endorsement from the Office of the Under Secretary of Defense.

Pirchei Shoshanim has been approved status as a Qualifying Educational Institution.

Chaplain (col. Ret) Chaim Leinwand, Deputy Director Chaplain Services Pirchei Shoshanim

Pirchei Shoshanim is now a member of the National Conference on the Ministry to the Armed Forces.

Free 10 day trip to Israel for Jewish Military Personnel  18-26. Click here for more details.

• indicates required field

•First Name:
•Last Name:
•Address:
•City:
•State/Province:
(U.S. and Canada ONLY)
•Zip/Postal Code:
(non-US residents, enter 00000)
•Country:
•Email:
•Home Phone:
•Office Phone:
•Fax Number:
•Cell Phone:
•Best Time to Call:
•Where did you hear
about the site?
•Father's Name:
•Mother's Name:
•Applicant's Hebrew Name:
•Occupation:
•Hebrew Reading Skills:
•Yeshiva Background:  
•Secular Education:  
•Do you have Semicha?: yes no
•Who gave the Semicha?:  
•What areas did you learn?:  
•Status: Married  Single Divorced Widowed
•Age:
•Name of Shul you attend:
•Location of Shul:
•Rabbi of Shul:
•Phone Number of Rabbi:

If you accept the above mentioned terms, then please submit this form by clicking on the button below.

 

Back