dd2088.pdf
DoD Form PDF 66 KB Posted
- Attached to
- Priest Services
- Solicitation number
- M00681-17-T-0005
- Issued by
-
United States Marine Corps
About this file
The STATEMENT OF ECCLESIASTICAL ENDORSEMENT will be required for submission of quotes.
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Other versions and copies of DD Form 2088
| 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 3_DD Form 2088 (Blank).pdf | Revision not stated | Roman Catholic Priest Services for Arlington National Cemetery | |
| Attch 4 dd2088.pdf | Revision not stated | Fairchild Auxiliary Catholic Priest | |
| Attch_5_dd2088.pdf | Revision not stated | Roman Catholic Priest Services |
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Text version
STATEMENT OF ECCLESIASTICAL ENDORSEMENT
OMB No. 0704-0190 OMB approval expires Dec 31, 2017
The public reporting burden for this collection of information 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (0704-0190). 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. Sections 136, 533(a)(1), 643, 827, 3353(a)(1), and 5600(a)(1); DoD Directive 1304.19; DoD 1304.28; and E.O. 9397, as amended (SSN).
PRINCIPAL PURPOSE(S): The information collected on this form is used 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. Completed forms are covered by recruiting and official military personnel file SORNs maintained by each of the Services.
ROUTINE USE(S): The DoD "Blanket Routine Uses" found at http://dpclo.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx apply to this collection.
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 (To be completed by Endorsing Agent)
(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 (To be completed by Endorsing Agent)
5. COMMENTS
DD FORM 2088, DEC 2014 Adobe Designer 9.0PREVIOUS EDITION IS OBSOLETE.
STATEMENT OF ECCLESIASTICAL ENDORSEMENT
OMB No. 0704-0190 OMB approval expires Dec 31, 2017 The public reporting burden for this collection of information 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (0704-0190). 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. Sections 136, 533(a)(1), 643, 827, 3353(a)(1), and 5600(a)(1); DoD Directive 1304.19; DoD 1304.28; and E.O. 9397, as amended (SSN).
PRINCIPAL PURPOSE(S): The information collected on this form is used 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. Completed forms are covered by recruiting and official military personnel file SORNs maintained by each of the Services.
ROUTINE USE(S): The DoD "Blanket Routine Uses" found at http://dpclo.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx apply to this collection.
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 (To be completed by Endorsing Agent)
(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 (To be completed by Endorsing Agent)
5. COMMENTS
DD FORM 2088, DEC 2014
Adobe Designer 9.0
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 .