10-0379
Ecclesiastical Endorsing Organization Request to Designate Ecclesiastical Endorsing Official
VA Form 10-0379 is the U.S. Department of Veterans Affairs Ecclesiastical Endorsing Organization Request to Designate Ecclesiastical Endorsing Official. The instructions say it is for religious organizations seeking to endorse individuals for work as VA chaplains. The organization names the individual who will issue and withdraw ecclesiastical endorsements of its members.
The form is three pages. Page 1 lists the requirements for the organization and the documents that accompany an initial request, and says this information will be updated every three years. Pages 2 and 3 ask for the organization's details, its presiding officials, the designated individual, questions about its structure and endorsements, and counts of clergy and membership, then attestations A to G and the signature of the senior presiding official.
The form says it goes to the National Chaplain Service by email. You can fill out the PDF free in your browser on this page and download the result without an account.
Six numbered points for religious organizations, from being organized exclusively or substantially to provide religious ministries to a lay constituency to recognition by the IRS as a tax-exempt religious organization under Section 501(c)(3), and the email submission.
An explanation of the organization's structure and purpose, its membership requirements, requirements for membership in the clergy, IRS tax exemption documentation, and each person seeking endorsement.
Request date, name of organization, address, telephone and fax numbers, and internet site and email address if applicable.
Presiding officials' names and titles, then the designated individual's name, title, address, telephone, fax, internet site and email.
Yes or no questions on ministries to a lay constituency, sole endorsing agency, an agent endorsing to the military and membership in another endorsing body, then total clergy, total membership and counts of churches, parishes, congregations or local assemblies.
Statements on authority to designate, meeting the requirements, VA's acceptance of endorsements, VA's mission, a pluralistic environment, accurate documents and abiding by Federal, VA and VHA rules, then the signature.
Review the requirements and the list of documents. The form says this information will be updated every three years.
Enter the organization's details, its presiding officials and the individual designated to issue and withdraw endorsements.
Check yes or no, explain where items 11a, 12a and 13a ask, and enter the clergy and membership counts.
The senior presiding official listed in item 8 signs after reading attestations A to G.
Send the form and the required documents to the National Chaplain Service at [email protected].
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
National Chaplain Service, [email protected], as printed in the instructions.
The five documents listed on page 1 accompany the initial request.
The form says the information will be updated every three years. Statement B says the organization will immediately notify the director, Chaplain Service of the Department of Veterans Affairs if it ceases to meet any of the requirements.
DEC 2005 on every page, matching the December 2005 revision date on VA's form page.
The form is completed by a religious organization, not by a Veteran. It names these parties.
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The instructions say religious organizations seeking to endorse individuals for work as VA chaplains complete and submit it, naming an official who issues and withdraws ecclesiastical endorsements of their members.
The form says to submit it to the National Chaplain Service via email to [email protected] along with the required documents.
Page 1 lists an explanation of the organization's structure and purpose, its membership requirements, requirements for membership in the clergy, IRS documentation of its tax exemption as a religious organization under Section 501(c)(3), and the name, address and phone number of each person seeking endorsement.
No. Item 9 says the individual designated to issue and withdraw ecclesiastical endorsements cannot be an individual seeking to become a VA chaplain.
Item 17 is the signature of the senior presiding official listed in item 8.
Statement C says acceptance of an ecclesiastical endorsement by VA does not imply any approval by VA of the theology or practices of a religious organization, nor does it obligate VA to employ the endorsed individual or any other members of the organization.
The form says this information will be updated every three years.
