NetObjects Web Design Placeholder Professional

The National Association of Veterans’ Affairs Chaplains



Name ___________________________________________________

Mailing Address:    ________________________________________________________

Work phone ___________________________
Home phone __________________________

E-mail address:__________________________
FAX: __________________________

VA Medical Center Address ________________________________________________________

Citizenship (USA required)  yes  no

Current position or employment:

    Present association with VA
             _______ Current chaplain, VA
             _______ CPE Resident
             _______ Retired chaplain
             _______ Military chaplain
             _______ Endorser
             _______ Allied professional, please identify
             _______ Other, please identify 

Please remit this completed application, along with the $30.00
membership fee to:

NAVAC Certification Committee Chair

Chaplain David E. LeFavor, D.Min, BCC
Dayton VA Medical Center
Chaplain Service Code 125
4100 West Third Street
Dayton, OH 45428


There are two categories of membership. Category A members shall have
all rights and Privileges of membership. Category B members shall have
all rights and privileges of membership, except the right to vote, the right
to hold office as either an officer or Board member, and the right to serve as a committee chairperson.

Category A members include any chaplain who is currently employed by the Department of Veterans Affairs in any of the following ways: a full-time employee, a part-time employee, an intermittent chaplain, a fee-basis
chaplain or a contract chaplain.

Category B members include CPE residents, retired and former VA chaplains, other
federal chaplains to include but not limited to military chaplains, endorsers,
and allied professionals with an interest in the VA chaplaincy.

Membership applications are to be sent to the Chairman of the Board of Directors.  Appeals due to a person’s application not being accepted, is to the Board of Directors.

The fee for Professional Membership each year is $30.00, due and
payable in January of each year. Should payment not be received by
March 1 of each year,  membership becomes inactive until such payment
is made.



website design software
NAVAC | Certification | Competencies | Leadership | Members | Proj. Gratitude | NAVAC Fees | PC Week |