Attch 4 dd2088.pdf

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Attached to
Fairchild Auxiliary Catholic Priest Federal contract opportunity
Solicitation number
FA462020QA202
Issued by
Department of the Air Force Air Mobility Command

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Written by GovTribe AI ·

This document contains a Statement of Ecclesiastical Endorsement form (DD Form 2088) and details of a related federal contract opportunity.

The Statement of Ecclesiastical Endorsement form is used to verify the professional qualifications of individuals for appointment as chaplains within the military. It requires endorsement from an authorized ecclesiastical agent representing a religious organization. The related federal contract opportunity is solicitation number FA462020QA202 for Catholic priest services at Fairchild Air Force Base. The requirement is to provide non-personal Roman Catholic priest services to support the base. The contracting agency is the Department of the Air Force Air Mobility Command. The form and contract detail provide the necessary information to apply for and fulfill a contract for Catholic priest services to a military installation.

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File Type Posted
Attch 3 OPSEC Information.pdf PDF
FA462020QA202 - Combo RFQ - FAFB Aux Catholic Priest.pdf PDF
Attch 2 Pricing Schedule.pdf PDF
Attch 5 PPQ.pdf PDF
Attch 1 Fairchild Auxiliary Roman Catholic Priest PWS Final.pdf PDF

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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.:

File details come from the government source that posted it. Updated .