Attch 3_DD Form 2088 (Blank).pdf

DoD Form PDF 64 KB Posted

Attached to
Roman Catholic Priest Services for Arlington National Cemetery
Solicitation number
FA286020Q0027
Issued by

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Other versions and copies of DD Form 2088

7 government files on GovTribe name DD Form 2088. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File Revision Posted Attached to
Attach 4 DD2088.pdf Revision not stated Catholic Priest Services
Attachment 5 - DD2088 - Statement of Ecclesiastical Endorsement.pdf Revision not stated Catholic Priest Services
Attach 3 DD2088 Statement of Ecclesiastical Endorsement.pdf Revision not stated Catholic Priest-Amend 2 (4/14/2022)
Attch 4 dd2088.pdf Same revision and size as this file Revision not stated Fairchild Auxiliary Catholic Priest
Attch_5_dd2088.pdf Same revision and size as this file Revision not stated Roman Catholic Priest Services
dd2088.pdf Revision not stated Priest Services

Who attaches DD Form 2088

Agency Files
Department of the Air Force Air Mobility Command 3
United States Marine Corps 1
Department of the Air Force Space Command 1
Department of the Air Force Headquarters District Washington 1
Department of the Air Force Headquarters Secretary of the Air Force 1

Other files

File Type Posted
Attch 2_Pricing Sheet_Rev 1.xlsx XLSX spreadsheet
Attch 4_Combined Synopsis-Solicitation_FA286020Q00027.pdf PDF
Attch 1 _Performance Work Statement (PWS)_Rev 1.pdf PDF
Attch 1_Performance Work Statement (PWS).pdf PDF
Attch 2_Pricing Sheet.xlsx XLSX spreadsheet

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STATEMENT OF ECCLESIASTICAL ENDORSEMENT

OMB No. 0704-0190 OMB approval expires July 31, 2021

The public reporting burden for this collection of information, 0704-0190, is estimated to average 45 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ADDRESS. RETURN COMPLETED FORM TO CHIEF OF CHAPLAINS (ITEM 3).

PRIVACY ACT STATEMENT

Authority: 10 U.S.C. 136, 533(a)(1), 643, 827, 3353(a)(1), and 5600(a)(1); DoD Directive 1304.19; DoD Instruction 1304.28; and E.O. 9397, as amended (SSN).

Principle Purpose(s): To verify the professional and ecclesiastical qualifications of Religious Ministry Professionals for initial appointment or chaplains change of career status appointments as chaplains in the Military Services. This form is an essential element of a chaplain's professional qualifications and will become part of a chaplain's military personnel record.

Routine Use(s): See the individual military personnel file system of records notices, located at: Army (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/ Article/570051/a0600-8-104b-ahrc/); Navy (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570310/n01070-3/); Marine Corps (http://dpcld.defense.gov/ Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570626/m01070-6/); Air Force (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569821/f036-af-pc-c/); and Coast Guard (http://edocket.access.gpo.gov/2008/E8-29793.htm) Disclosure: Voluntary; however, failure to provide the requested information may significantly delay the processing of this endorsement.

a. AS THE ECCLESIASTICAL ENDORSING AGENT AUTHORIZED TO REPRESENT (Name of religious organization) (Item 4a)

, I HEREBY VERIFY THAT THE PERSON INDICATED IN PARAGRAPH

2, BELOW, IS CREDENTIALED AND QUALIFIED FOR AN APPOINTMENT WITHIN THE MILITARY CHAPLAINCY (as indicated in paragraph 2(j)(k) IN ACCORDANCE WITH THE STANDARDS CONTAINED IN DODI 1304.28. (Date of agent authorization - YYYYMMDD:)

1. ECCLESIASTICAL ENDORSING AGENT (Complete entire form)

(4) ZIP CODE(3) STATE(2) CITYd. ADDRESS. (1) STREET (Include apartment or suite number)

c. E-MAIL ADDRESSb. TYPED OR PRINTED NAME (Last, First, Middle Initial)

h. DATE SIGNED (YYYYMMDD)

g. DATE OF BIRTH (YYYYMMDD)

g. SIGNATUREf. FAX NUMBER (Include Area Code)

e. TELEPHONE (Include Area Code)

NOYES2. PROSPECT INFORMATION. a. IS THIS AN INITIAL ENDORSEMENT? (X one) u

f. E-MAIL ADDRESS

(4) ZIP CODE(3) STATE(2) CITYe. ADDRESS. (1) STREET (Include apartment or suite number)

d. TELEPHONE (Include Area Code)c. SOCIAL SECURITY NUMBER (Last 4)b. TYPED OR PRINTED NAME (Last, First, Middle Initial)

(2) ENLISTED (1) OFFICER

i. NUMBER OF MONTHS OF PRIOR ACTIVE MILITARY SERVICE PROSPECT HAS COMPLETED

j. SOURCE OF ORDINATION/PROFESSIONAL CREDENTIALS k. DATE OF ORDINATION/PROFESSIONAL

CREDENTIALS (YYYYMMDD)

h. NUMBER OF YEARS OF PROFESSIONAL MINISTRY

EXPERIENCE PROSPECT HAS COMPLETED

l. APPLICATION IS FOR (X one)

(1) CHAPLAIN CANDIDATE (4) ACTIVE DUTY (Navy Only: X (a) or (b)) (5) WITHDRAWAL OF ENDORSEMENT

(a) Initial Active Duty - 3 Years

(b) Extended Active Duty - Indefinite

(2) RESERVE

(3) NATIONAL GUARD

(4) ZIP CODE(3) STATE(2) CITY

b. ADDRESS. (1) STREET (Include apartment or suite number)

(3) AIR FORCE

(2) NAVY(1) ARMY

a. CHIEF OF CHAPLAINS (X appropriate block)

3. TO

h. WEB SITEg. E-MAIL ADDRESS

(4) ZIP CODE(3) STATE(2) CITYf. ADDRESS. (1) STREET (Include apartment or suite number)

e. FAX NUMBER (Include Area Code)d. TELEPHONE (Include Area Code)

c. EMPLOYER IDENTIFICATION

NUMBER (IRC)

b. DATE OF CURRENT INTERNAL REVENUE CODE (IRC) 501(c)(3)

EXEMPT STATUS

a. TYPED OR PRINTED NAME OF RELIGIOUS ORGANIZATION GRANTING

RELIGIOUS MINISTRY PROFESSIONAL ENDORSEMENT

4. FROM

5. COMMENTS

DD FORM 2088, JAN 2019 PREVIOUS EDITION IS OBSOLETE.

file:///See http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570051/a0600-8-104b-ahrc/ http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570051/a0600-8-104b-ahrc/ http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570310/n01070-3/ http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570626/m01070-6/ http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570626/m01070-6/ http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569821/f036-af-pc-c/ http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569821/f036-af-pc-c/

STATEMENT OF ECCLESIASTICAL ENDORSEMENT

OMB No. 0704-0190 OMB approval expires July 31, 2021 The public reporting burden for this collection of information, 0704-0190, is estimated to average 45 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ADDRESS. RETURN COMPLETED FORM TO CHIEF OF CHAPLAINS (ITEM 3).

PRIVACY ACT STATEMENT

Authority: 10 U.S.C. 136, 533(a)(1), 643, 827, 3353(a)(1), and 5600(a)(1); DoD Directive 1304.19; DoD Instruction 1304.28; and E.O. 9397, as amended (SSN).

Principle Purpose(s): To verify the professional and ecclesiastical qualifications of Religious Ministry Professionals for initial appointment or chaplains change of career status appointments as chaplains in the Military Services. This form is an essential element of a chaplain's professional qualifications and will become part of a chaplain's military personnel record.

Routine Use(s): See the individual military personnel file system of records notices, located at: Army (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570051/a0600-8-104b-ahrc/); Navy (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570310/n01070-3/); Marine Corps (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570626/m01070-6/); Air Force (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569821/f036-af-pc-c/); and Coast Guard (http://edocket.access.gpo.gov/2008/E8-29793.htm) Disclosure: Voluntary; however, failure to provide the requested information may significantly delay the processing of this endorsement.

a. AS THE ECCLESIASTICAL ENDORSING AGENT AUTHORIZED TO REPRESENT (Name of religious organization) (Item 4a)

, I HEREBY VERIFY THAT THE PERSON INDICATED IN PARAGRAPH

2, BELOW, IS CREDENTIALED AND QUALIFIED FOR AN APPOINTMENT WITHIN THE MILITARY CHAPLAINCY (as indicated in paragraph 2(j)(k) IN ACCORDANCE WITH THE STANDARDS CONTAINED IN DODI 1304.28. (Date of agent authorization - YYYYMMDD:)

1. ECCLESIASTICAL ENDORSING AGENT (Complete entire form)

(4) ZIP CODE

(3) STATE

(2) CITY

d. ADDRESS. (1) STREET (Include apartment or suite number)

c. E-MAIL ADDRESS

b. TYPED OR PRINTED NAME (Last, First, Middle Initial)

h. DATE SIGNED (YYYYMMDD)

g. DATE OF BIRTH (YYYYMMDD)

g. SIGNATURE

f. FAX NUMBER (Include Area Code)

e. TELEPHONE (Include Area Code)

NO

YES

2. PROSPECT INFORMATION. a. IS THIS AN INITIAL ENDORSEMENT? (X one) u

f. E-MAIL ADDRESS

(4) ZIP CODE

(3) STATE

(2) CITY

e. ADDRESS. (1) STREET (Include apartment or suite number)

d. TELEPHONE (Include Area Code)

c. SOCIAL SECURITY NUMBER (Last 4)

b. TYPED OR PRINTED NAME (Last, First, Middle Initial)

(2) ENLISTED

(1) OFFICER

i. NUMBER OF MONTHS OF PRIOR ACTIVE MILITARY SERVICE PROSPECT HAS COMPLETED

j. SOURCE OF ORDINATION/PROFESSIONAL CREDENTIALS

k. DATE OF ORDINATION/PROFESSIONAL

CREDENTIALS (YYYYMMDD)

h. NUMBER OF YEARS OF PROFESSIONAL MINISTRY EXPERIENCE PROSPECT HAS COMPLETED

l. APPLICATION IS FOR (X one)

(1) CHAPLAIN CANDIDATE

(4) ACTIVE DUTY (Navy Only: X (a) or (b))

(5) WITHDRAWAL OF ENDORSEMENT

(a) Initial Active Duty - 3 Years

(b) Extended Active Duty - Indefinite

(2) RESERVE

(3) NATIONAL GUARD

(4) ZIP CODE

(3) STATE

(2) CITY

b. ADDRESS. (1) STREET (Include apartment or suite number)

(3) AIR FORCE

(2) NAVY

(1) ARMY

a. CHIEF OF CHAPLAINS (X appropriate block)

3. TO

h. WEB SITE

g. E-MAIL ADDRESS

(4) ZIP CODE

(3) STATE

(2) CITY

f. ADDRESS. (1) STREET (Include apartment or suite number)

e. FAX NUMBER (Include Area Code)

d. TELEPHONE (Include Area Code)

c. EMPLOYER IDENTIFICATION NUMBER (IRC)

b. DATE OF CURRENT INTERNAL REVENUE CODE (IRC) 501(c)(3) EXEMPT STATUS

a. TYPED OR PRINTED NAME OF RELIGIOUS ORGANIZATION GRANTING RELIGIOUS MINISTRY PROFESSIONAL ENDORSEMENT

4. FROM

5. COMMENTS

DD FORM 2088, JAN 2019

PREVIOUS EDITION IS OBSOLETE.

9.0.0.2.20120627.2.874785

WHS/ESD/DD

DD Form 2088, Statement of Ecclesiastical Endorsement, December 2014

Date of authorization.:
(4) Zip code.:
(3) State.:
(2) City.:
d. Address. (1) Street. Include apartment or suite number.:
c. E-mail address.:
b. Typed or printed name (last, first, middle initial).:
Name of religious organization:
h. Date signed. Four digit year, two digit month, two digit day.:
k. Date of credentials. Four digit year, two digit month, two digit day.:
h. Date of birth. Four digit year, two digit month, two digit day.:
agt_sign:
4.f. Fax number (include area code).:
4.e. Telephone number (include area code).:
X if Air Force.:
f. E-mail address.:
(4) Zip code.:
(3) State.:
(2) City.:
e. Address. (1) Street. Include apartment or suite number.:
d. Telephone. Include area code.:
Social security number (last 4 digits):
b. Typed or printed name (last, first, middle initial).:
(2) Enlisted.:
i. Number of months of prior active military service prospect has completed. (1) Officer.:
h. Number of years of professional ministry experience prospect has completed.:
j. Source of ordination/professional credentials.:
(4) Zip code.:
(3) State.:
(2) City.:
b. Address. (1) Street. Include apartment or suite number.:
h. Web site.:
g. E-mail address.:
(4) Zip code.:
(3) State.:
(2) City.:
f. Address. (1) Street. Include apartment or suite number.:
e. Fax number (include area code).:
d. Telephone (include area code).:
. Employer identification number (IRC).:
b. Date of current Internal Revenue Code (IRC) 501(c)(3) exempt status.:
4.From. To be completed by endorsing agent. a. Typed or printed name of religious organization granting religious ministry professional endorsement.:
5. Comments.:

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