Chaplain Request Form

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By reuesting a chaplain you agree to our ministry terms and conditions. Marketplace Chaplains’ care is confidential, neutral from company operations, and constitutes an optional benefit for employees. Chaplains provide care to employees and their families by listening, praying, and verbally encouraging everyone regardless of their race, gender, lifestyle, or religion. While you may also have an internal policy to manage any pro bono work like this, your assigned chaplain may be asked to provide select services to your employees and their families as needed. This service is offered free of charge.

Email *

Requesting Institution *

Contact Person Name *

Contact Person's Email *

Preferred chaplain names (If any) *

For how long would you like our chaplain to serve you? *

Preferred support mode *

Virtual employee care service

In-person Employee care service

Both Virtual and In-person Employee Care Service

Comment *

Submit

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