DD Form 2088 Statement of Ecclesiastical Endorsement

CUI (when filled in)
OMB No. 0704-0190
OMB approval expires
20240831

STATEMENT OF ECCLESIASTICAL ENDORSEMENT

The public reporting burden for this collection of information, 0704-0190, is estimated to average 45 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to
the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other
provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ADDRESS. RETURN COMPLETED FORM TO CHIEF OF CHAPLAINS (ITEM 3).

PRIVACY ADVISORY
Disclosure of this information is voluntary and will be used to verify the professional and ecclesiastical qualifications of Religious Ministry Professionals for initial appointment or chaplains change of
career status appointments as chaplains in the Military Services. This form is an essential element of a chaplain’s professional qualifications and will become part of a chaplain’s military personnel
record. When completed, this form contains personally identifiable information and is protected by the Privacy Act of 1974, as amended.
For additional information, see the official military personnel records and accessions system of records notices, located at: Army Personnel (https://dpcld.defense.gov/Portals/49/Documents/Privacy/
SORNs/Army/A006-8-104-AHRC.pdf); Navy Personnel (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570310/n01070-3/); Marine Corps Personnel (http://
dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570626/m01070-6/); Air Force Personnel (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-ArticleView/Article/569821/f036-af-pc-c/); Coast Guard Personnel (https://www.federalregister.gov/documents/2008/12/19/E8-29793/privacy-act-of-1974-united-states-coast-guard-014-military-pay-andpersonnel-system-of-records); and DoD Accessions (https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-Wide-Notices/DOD-Wide-Article-List/).

1. ECCLESIASTICAL ENDORSING AGENT (Complete entire form)
a. AS THE ECCLESIASTICAL ENDORSING AGENT AUTHORIZED TO REPRESENT (Name of religious organization) (Item 4a)
, I HEREBY VERIFY THAT THE PERSON INDICATED IN SECTION 2,
BELOW, IS CREDENTIALED AND QUALIFIED FOR AN APPOINTMENT WITHIN THE MILITARY CHAPLAINCY (as indicated in blocks 2(j) and 2(k))
IN ACCORDANCE WITH THE STANDARDS CONTAINED IN DODI 1304.28. (Date of agent authorization - YYYYMMDD:)
b. TYPED OR PRINTED NAME (Last, First, Middle Initial)

c. E-MAIL ADDRESS

d. ADDRESS. (1) STREET (Include apartment or suite number)

(2) CITY

e. TELEPHONE
(Include Area Code)

f. FAX NUMBER
(Include Area Code)

(3) STATE

g. SIGNATURE

h. DATE SIGNED (YYYYMMDD)

u

2. PROSPECT INFORMATION. a. IS THIS AN INITIAL ENDORSEMENT? (X one)
b. TYPED OR PRINTED NAME (Last, First, Middle Initial)

YES

NO

DRAFT

e. ADDRESS. (1) STREET (Include apartment or suite number)

(4) ZIP CODE

c. SOCIAL SECURITY NUMBER (Last 4)

d. TELEPHONE (Include area code)

(2) CITY

(3) STATE

(4) ZIP CODE

g. DATE OF BIRTH
(YYYYMMDD)

f. E-MAIL ADDRESS
h. NUMBER OF YEARS OF PROFESSIONAL MINISTRY
EXPERIENCE PROSPECT HAS COMPLETED

i. NUMBER OF MONTHS OF PRIOR ACTIVE MILITARY SERVICE PROSPECT HAS COMPLETED

(1) OFFICER

(2) ENLISTED
k. DATE OF ORDINATION/PROFESSIONAL

j. SOURCE OF ORDINATION/PROFESSIONAL CREDENTIALS

CREDENTIALS (YYYYMMDD)
l. APPLICATION IS FOR (X one)
(1) CHAPLAIN CANDIDATE

(4) ACTIVE DUTY (Army and Navy Only: X (a) or (b))

(5) WITHDRAWAL OF ENDORSEMENT

(2) RESERVE

(a) Initial Active Duty - 3 Years

(6) RESERVE (AGR)

(3) NATIONAL GUARD

(b) Extended Active Duty - Indefinite

3. TO

b. ADDRESS. (1) STREET (Include apartment or suite number)

a. CHIEF OF CHAPLAINS (X appropriate block)
(1) ARMY

(2) NAVY

(2) CITY

(3) STATE

(4) ZIP CODE

(3) AIR FORCE

4. FROM
b. DATE OF CURRENT INTERNAL
REVENUE CODE (IRC) 501(c)(3)
EXEMPT STATUS (YYYYMMDD)

c. EMPLOYER IDENTIFICATION
NUMBER (IRC)

d. TELEPHONE (Include Area Code)

e. FAX NUMBER (Include Area Code)

f. ADDRESS. (1) STREET (Include apartment or suite number)

(2) CITY

(3) STATE

g. E-MAIL ADDRESS

h. WEB SITE

a. TYPED OR PRINTED NAME OF RELIGIOUS ORGANIZATION GRANTING
RELIGIOUS MINISTRY PROFESSIONAL ENDORSEMENT

(4) ZIP CODE

5. COMMENTS

DD FORM 2088, DRAFT 20240528
PREVIOUS EDITION IS OBSOLETE.

CUI (when filled in)

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Controlled by: OUSD(P&R)
CUI Category: PRVCY
LDC: FEDCON
POC: dodhra.mc-alex.dhra-hq.mbx.forms@mail.mil

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