Online Renewal Name/ Nombre: Title First Last Middle Address/ Dirreccion: Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryPhone Number/ Telefono:DOB/ Fecha de Nacimiento:01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901daymonthyearE-mail/ Correo Electrónico:*Have you taken Basic Chaplaincy Training? / A usted tomado el Entrenamiento Básico de Capellán?*Select oneYesNoWhen?/ Cuando? *Are you trained as a:/ Usted fue entrenado para *Chaplain Instructor/InstructorVolunteer / Capellán VoluntarioBoth/ Voluntario e Instructor Membership/ Membrecía Select valueYes, I want to continue being a member of NTCI Chaplaincy Program No, I do not wish to continue my membership **Please, return your badge and credentials along with this form to be removed from our system, you will no longer receive any resources or classes from our chaplaincy Program.**Entrego mi Placa y Credencial junto con esta forma como acordado según el reglamento para ser removido del sistema, estoy consciente que no recibiré más recursos o clases del Departamento de Capellanía.Membership/ Inscripción*Select one1 year $50.00 2 years $80.00Payment/ PagoSelect oneCheck / ChequeCredit/Debit Card / Tarjeta Credito/Debito Money Order Cash Please call 214-486-0749 to make credit or debit card payment after submitting chaplaincy renewal form. Thank you. Por favor, llame al 214-486-0749 para hacer el pago con tarjeta de débito o de crédito después de la sumisión del formulario de renovación de capellanía . Gracias.Aviso a todo el personal y los estudiantes NTCI, por favor enviar todo correo a:North Texas Collegiate Institute PO BOX 2066 QUINLAN, TEXAS 75474Or email to ntcichaplain@gmail.com Visit http://ntcollege.org/capellania/verifychaplains/ to verify your Chaplaincy at any time. Remember to attach a pastoral endorsement Letter from your current Pastor/Ministry and/or Recommendation Letter with this form to expedite your renewal process.Visite http://ntcollege.org/capellania/verifychaplains/ para verificar el estado de su capellanía Recuerde enviar una carta de recomendaciónReferencia de su pastor o ministerio donde usted es miembro activo para apresurar su procesamiento de renovación. Upload a File:/ Subir archivo:SubmitReset Sorry! This product is not available for purchase at this time.