Thank you for your interest in MUSC Volunteer Chaplaincy Program. Acceptance to this program is contingent upon satisfactory references, criminal background check, and verification of information submitted through this application. 

Please fill out this application and click "continue" below. Email Hiba Ghasham a copy of your ordination letter. 


Personal Information

Thank you for your interest in becoming a volunteer Chaplain at MUSC Health Florence Medical Center. Our chaplains provide spiritual needs to our patients and Care team members.




Emergency Contact

In the event of an emergency, please list a contact person.



Past Work Experience


Skills & Experience


Additional Information

1- Name of your church/Congregation

2- Denominational Affiliation/Faith Group

3- If bi-vocational, your occupation

4- Clinical Pastoral Education (Name of CPE Center and # of units completed.)



Criminal History

Have you ever been convicted of, or pled guilty to a criminal offense (misdemeanor or felony)? We conduct a criminal background check.



Other Relevant Experience/Education

1- What is your motivation for applying to become a Volunteer Chaplain?

2- What is the role and function of a Chaplain in your opinion?



References


Certifcation

I hereby certify the answers on this application and any given during interviews are true. Any misleading or false information on my part will be grounds for dismissal from the Volunteer Chaplaincy Program at MUSC Health. 

I authorize MUSC Health to conduct a criminal background check. I understand if the information provided by me is false, I will no longer be considered for volunteer work. 



Signature of Candidate: