I hereby certify that the facts set forth on my Chaplaincy Application (and attachments, if any)
are true and complete to the best of my knowledge. I agree and understand that any misrepresentation,
falsification of information, or failure to disclose information will subject me to dismissal.
Page 916-816-PRAY (916-816-7729). Regular office hours Mon.-Fri., 8 a.m.-5 p.m. Telephone: 916-734-3657 Email: email@example.com