**Department: Department Of Veterans Affairs**

**Agency: Department Of Veterans Affairs**

**Job Announcement Number: BESE A2**

**Chaplain (Roman Catholic)**

+-----------------------------------+-----------------------------------+
| Salary Range: 54494 to 84913 USD  | Open Period: 1/1/2008 to          |
| Per Year                          | 12/31/2008                        |
|                                   |                                   |
| Rates of pay are higher in high   |                                   |
| cost of living localities         |                                   |
+-----------------------------------+-----------------------------------+
| Series & Grade: GS-0060-11/12     | Position Information: Multiple    |
|                                   | Schedules Permanent               |
+-----------------------------------+-----------------------------------+
|                                   | Duty Location: many vacancies -   |
|                                   | Throughout The Nation, US         |
+-----------------------------------+-----------------------------------+

**Who May Be Considered**:

Applications will be accepted from US Citizens and Non-Citizens as
allowed by appropriations.  Non-citizens can only be hired when there
are no qualified applicants available.

**Job Summary:**

The Department of Veterans Affairs has immediate openings for Roman
Catholic Chaplains.   Call the VA National Chaplain Center for
information on current openings, and how to apply for  continuing
consideration as vacancies arise: 757-728-7069 

APPLICATIONS SUBMITTED UNDER THIS ANNOUNCEMENT WILL NOT  BE CONSIDERED
FOR THE FOLLOWING:  (1) Contract or Fee-basis work at VA Health Care
facilities.   These types of utilization are not employment.  Persons
interested in contract or fee basis work must contact individual VA
Medical Centers at which they wish to work.  (2) Time-Limited employment
to meet temporary needs.  Individual VA Medical Centers recruit locally
for these needs.  Persons given time-limited appointments can not become
permanent VA chaplains without competing in accordance with the
provisions of this announcement  (3) Supervisory chaplain positions. 
Supervisory positions are generally filled from within the Department of
Veterans Affairs.  However, when recruitment from outside VA is desired,
such positions will be announced on USAJOBS.  (4) Positions of Clinical
Pastoral Education Supervisor.  See announcement number BESE CPE-A

Key Requirements:

• Ecclesiastical Endorsement

**[Major Duties:]{.underline}**

Catholic Chaplains work at Veterans Affairs Medical Centers, Outpatient
Clinics, and Domiciliaries throughout the United States.

VA medical centers employ Catholic Chaplains in full time, part time,
and intermittent positions.    Intermittent positions have no
prescheduled tour of duty.  When filling GS-12 positions, facilities
sometimes choose to hire an individual at GS-11 and to promote the
individual to GS-12 after a year. 

Chaplains at GS-11 provide complete religious ministry to veteran
patients.  They address religious, spiritual, moral, and ethical
problems of patients, ministering to newly admitted, pre- and
post-operative patients, the critically ill, and the families
concerned.  Catholic chaplains provide the full range of pastoral
ministry and sacraments to Roman Catholic patients, including
conscientious attention during emergency and crisis situations. 
Chaplains assure that all patients have opportunities for free exercise
of religion and are protected from proselytizing.  Chaplains provide
guidance and religious instruction to individuals and groups; arrange
for and conduct religious worship services in chapels and at other
locations for patients unable to attend regular chapel services. 
Chaplains maintain cooperative relationships with Medical Center
personnel and individuals and groups in the community.  This work is
carried out in a pluralistic environment; and each chaplain is sensitive
to the religious needs of many separate religious denominations and
faith groups.  

GS-12 chaplains provide comprehensive spiritual and pastoral care to
patients and their families that encompasses all aspects of pastoral
care including individual and group counseling, leading worship and
ordinances, and patient/family education.  Chaplains assure that all
patients have opportunities for free exercise of religion, locating
other chaplains and/or persons from the community to provide for
patients' religious needs as necessary.  GS-12 chaplains collaborate
with other health care professionals as part of interdisciplinary teams
in assessing patient needs, planning and carrying out patient care;
developing relationships with the larger community which support the
Medical Center mission; and responding to emergency needs of patients
and family members.  Chaplains participate in educating health care
staff and trainees about the role of chaplains and the importance of
religion and spirituality in health and wellness.  The work emphasizes
an ecumenical, team approach to assignments.

**[Qualifications:]{.underline}**

Applicants must meet all of the following requirements:

\(1\) Citizenship:  The federal government gives strong priority to
hiring U.S. citizens.  When no qualified U.S. citizens are available
certain non-citizens may be considered for VA chaplain positions.  To be
considered, non-citizens must meet the requirements of both immigration
law and the appropriations act ban on paying certain non-citizens.  The
appropriations act ban does not apply to citizens of Ireland, Israel, or
the Republic of the Philippines, or to nationals of those countries
allied with the United States in the current defense effort (this
includes countries in NATO).    Further information is available on-line
at:  http://www.opm.gov/employ/html/Citizen.htm   

\(2\) Ecclesiastical Endorsement:  Must possess ecclesiastical
endorsement, dated within the past 12 months, from the Roman Catholic
Archdiocese for the Military Services in Washington, DC.  
Ecclesiastical endorsement is the written official statement of the
Archdiocese certifying that the applicant is in good standing as
clergy, and that the individual is, in the opinion of the endorsing
body, qualified to perform the full range of ministry required by Roman
Catholic patients in the VA pluralistic setting.  For further
information about the process of seeking ecclesiastical
endorsement, please phone Chaplain (Associate Director) Paul Holt at the
National VA Chaplain Center at (757) 728-7063.

\(3\) Education:  All applicants must possess the degree of Master of
Divinity or equivalent educational qualifications.  Equivalent
educational qualifications means possession of a bachelor's degree of at
least 120 semester hours plus completion of not less than 70 semester
hours of graduate course work which included all of the following: 20
semester hours in pastoral ministry; 20 semester hours in any
combination of theology, ethics and philosophy of religion; 20 semester
hours in the study of sacred writings, including the study of languages
in which sacred writings are/were written;  10 semester hours in
religious history and/or world religions. To meet federal requirements,
education must be from college(s), university(ies), or theological
institution(s) that are accredited by an accrediting body recognized by
the U.S. Department of Education.  The U.S. Department of Education has
a database of accredited institutions on the internet at: 
http://www.ed.gov/admins/finaid/accred/index.html

\(4\) Clinical Pastoral Education (CPE):  In addition to the education
requirements, applicants must have completed at least 2 units of
Clinical Pastoral Education (CPE) \[as defined by the Association for
Clinical Pastoral Education (ACPE), the National Association of Catholic
Chaplains (NACC), or the College of Pastoral Supervision and
Psychotherapy (CPSP)\].   800 hours of supervised ministry in a formal
training program which incorporated both ministry formation and pastoral
care skills development may be substituted for the required
CPE.  Completion of a diaconal year after seminary may meet this
requirement.  We encourage you to contact Chaplain (Associate Director)
Paul Holt at 757-728-7065 for further information.

\(5\) Experience:   To qualify for GS-11, you must have at least two
years of professional experience, after completion of the M. Div. or
equivalent, which has demonstrated both practical pastoral knowledge and
skill, and ability to minister in a pluralistic setting.   Supervised or
guided pastoral experience completed during graduate professional
education may be credited for up to one of the two years of
experience.   Part time experience is pro-rated by comparing the average
number of hours worked to a 40 hour work week.  Completion of a doctoral
degree directly related to pastoral ministry may be substituted for one
year of experience.  For GS-12, in addition to the requirements for
GS-11, at least one year of professional experience, equivalent in
complexity and responsibility to the GS-11 level, which has demonstrated
all of the following: (a) ability to serve as a consultant or expert to
a interdisciplinary treatment team; (b) in-depth knowledge of related
professional fields, particularly in the behavioral sciences;
(c) understanding of, and ability to respond to, the particular concerns
and issues pertaining to treatment of veterans;  (d) knowledge of the
structure, regulations, practices, and programs of health care delivery
systems;      (e) Ability to interpret and apply a body of rules,
regulations, policies, and procedures in professional practice; (f)
ability to develop and maintain liaisons with a variety of outside
organizations.       

\(6\) English Language Competency: All applicants must be proficient in
written and spoken English.

\(7\) Selective Service Registration:  By law, all males born after
December 31, 1959 must have registered with the selective service system
(the draft) or have a valid exemption.

Drug Testing - All non-VA applicants tentatively selected for VA
employment in

any position are subject to urinalysis to screen for illegal drug use
prior to

appointment. Applicants who refuse to be tested will be denied
employment with

the VA.

**[How Will You Be Evaluated:]{.underline}**

Once your qualifications have been evaluated, your application will be
assigned a numeric score. Candidates will be ranked in score order with
appropriate points added for veterans\' preference.

RATING FACTORS FOR CHAPLAINS

Qualified applicants will be evaluated on their possession of the
factors listed below.  Please describe your experience, education,
training, awards and other specific accomplishments that demonstrate
your possession of the rating factors for all the grade(s) for which you
wish to be considered.  Providing this information is voluntary;
however, if you do not give give complete information you may receive
less than full credit in the rating process.  You may provide responses
on separate sheets of bond paper.  Your name and social security number
should be on the top of each sheet.

GS-11 (Full Performance Level)

A1. Ability to communicate orally

Describe your accomplishments that demonstrate the breadth and
complexity of oral communication that you have performed.  (For example
counseling, training, lecturing)  Describe the most difficult
communication tasks you have performed in your professional practice and
in outside activities. 

A2. Ability to communicate in writing

Describe the most difficult and complex written communication you have
performed.  Describe how you have incorporated written communication
into your professional practice and outside activities.

A3. Ability to deal effectively with others

Describe your accomplishments in leading or supervising others. 
Describe achievements in mediating disputes, negotiating settlements,
solving interpersonal problems, motivating and persuading others.

A4. Ability to minister to persons from various social, cultural and
racial backgrounds

Describe your experience in relating with and ministering to clergy,
patients, and others from various faith and value traditions.  Describe
any accomplishments in developing interfaith relationships.

A5. Ability to provide or facilitate liturgical and sacramental ministry
to persons from various religious backgrounds.

Describe your ministry experience and current professional practice that
demonstrates your knowledge of various liturgical principles and
practices

**GS-11 (potential 12) and/or GS-12**

B1. Ability to communicate orally and in writing.

Describe your accomplishments in oral and written communication. 
Describe your use of these abilities in your professional experience in
religious instruction, pastoral care, and participation in
multidisciplinary teams/committees.  List and describe any publications.

B2.  Ability to provide clinical pastoral care and counseling in a
healthcare setting.

Describe in detail your experience in providing ministry in health-care
settings.  Describe the workplace, the type(s) of patients or clients
served, and your participation as a member of multidisciplinary
treatment team(s).  Be sure to include any experience with veterans. 
List any relevant training, education and certifications.  Describe your
qualifications in any clinical specialties and attach supporting
documentation.

B3. Ability to provide ministry in a pluralistic setting

Describe your experience in relating with clergy, patients, and others
from various faith and value traditions.  Describe any accomplishments
in developing interfaith relationships.  Describe your experience in
ministering to persons from a variety of faith groups.

B4.  Knowledge of worship principles and practices

Describe your ministry experience and current professional practice that
demonstrates your knowledge of various worship (liturgical) principles
and practices.

B5. Ability to establish relationships and deal effectively with others

Describe your experiences in leading or supervising others.  Give
examples of accomplishments in mediating disputes and negotiating
settlements.  Describe your involvement in community and civic
activities.  Be sure to describe your relationships with professional
associations, interdisciplinary teams, veterans organizations, fraternal
organizations, etc.

Persons who have completed a one-year Clinical Pastoral Education
residency or fellowship at a Department of Veterans Affairs Medical
Center, and who meet all VA chaplain qualification requirements, can be
considered for jobs without a numerical rating. This is called
"non-competitive consideration." Veterans are given preference.  This
eligibility for non-competitive consideration lasts for one year after
completion of the residency/fellowship.

**[Benefits and Other Information]{.underline}**

Benefits:

You may participate in the Federal Employees Health Benefits program,
with costs shared with your employer. More info:
http://www.usajobs.gov/jobextrainfo.asp#FEHB.

Life insurance coverage is provided. More info:
http://www.usajobs.gov/jobextrainfo.asp#life

Long-Term Care Insurance is offered and carries into your retirement.
More info: http://www.usajobs.gov/jobextrainfo.asp#ltci

New employees are automatically covered by the Federal Employees
Retirement System (FERS). If you are transferring from another agency
and covered by CSRS, you may continue in this program. More info:
http://www.usajobs.gov/jobextrainfo.asp#retr

You will earn annual vacation leave. More info:
http://www.usajobs.gov/jobextrainfo.asp#VACA

You will earn sick leave. More info:
http://www.usajobs.gov/jobextrainfo.asp#SKLV

You will be paid for federal holidays that fall within your regularly
scheduled tour of duty. More info:
http://www.usajobs.gov/jobextrainfo.asp#HOLI

Opportunities are available in numerous locations and employees may
transfer to new locations to further their career goals.

Selected applicants may qualify for credit towards annual leave accrual,
based on prior non-federal or military service experience.

Other Information:

This job is being filled by an alternative hiring process and is not in
the competitive civil service.

The materials you send with your application will not be returned.

Send only those materials needed to evaluate your application. Please do
not place your application in a notebook or binder.

You will be required to serve a trial period of 1 year.

**[How to Apply]{.underline}**

Mail your applications so it will be postmarked by closing date. If hand
delivered, be sure your application is received by closing date.

**[   Submit the following material to the National VA Chaplain
Cente]{.underline}**r: 

\(1\) An application form or resume (federal forms OF-612 or SF-171 may
be used but are not mandatory.)  If you submit a resume, please be sure
to include all of the following information:  The country of which you
are a citizen; the names and locations of colleges and universities
attended, the degree(s) earned and the date(s); the dates and location
of clinical pastoral education and other relevant training; and
information about all relevant paid and unpaid experience, including:
job title, duties and accomplishments, employer's name and address,
starting and ending dates (month and year), number of hours worked per
week, and the salary (if any).

\(2\) Declaration for Federal Employment (form OF-306)

\(3\) Ecclesiastical endorsement dated within the past 12 months (Most
ecclesiastical endorsers will send endorsements directly to the
Department of Veterans Affairs National Chaplain Center, in Hampton,
Virginia.  Applicants cannot be considered for positions until their
endorsement is received at the National Chaplain Center).  

\(4\) If you are a veteran:  Submit a copy (the copy labeled "member
copy 2") of each of your military discharge forms (DD-214), and, if you
are claiming 10-point preference, usually based on a service-connected
disability, submit SF-15   \'Claim for 10-point Veterans Preference\'
with the supporting documents as specified in the instructions on that
form.  For information on veterans preference see the Office of
Personnel Management Vetguide at
http://www.opm.gov/veterans/html/vetguide.htm

\(5\) Official Transcripts of undergraduate and graduate education

\(6\) Clinical Pastoral Education Certificates, or a detailed
description of the training you wish to have considered as equivalent.  

\(7\) Narrative responses to the Chaplain rating factors (you may
respond on bond paper). 

\(8\) Specification of the locations, grades, and work schedules for
which you wish to be considered (use the lists "Chaplain Grade and
Schedule Options Desired" and "Department of Veterans Affairs Locations"
that are on the VA Chaplain Web site: www.va.gov/chaplain, or you may
specify your preferences on a separate page.)  

Forms may be obtained from the Human Resources Management Service at any
VA Medical Center, or phone the National VA Chaplain Center:  (757)
728-7069.

Application mailed using government postage or through an internal
federal government mail system will not be considered.

Contact Information:

JOHN BATTEN

Phone: 757-728-7062

Or Write:

Department Of Veterans Affairs

National VA Chaplain Center (301/111C)

100 Emancipation Drive, Building 33

Hampton VA 23667

**[What to Expect Next:]{.underline}**

Normally applicants will be notified of their rating in writing within
three weeks after all required documents are received at the National VA
Chaplain Center.  Your application remains active for one year following
rating by the Board.  You may submit additional or updated information
about your qualifications to the Board of Excepted Service Examiners
once during the year.  At the end of the year you may update your
application and request us to extend your eligibility.  You may change
the locations, grade(s) and/or work schedules for which you wish to be
considered as often as you wish by contacting the National Chaplain
Center.

**HOW APPLICANTS ARE REFERRED AND CONSIDERED FOR VACANCIES**:

When a VA health care facility wishes to hire a chaplain, it requests
the National Chaplain Center for a list of applicants.  The National
Chaplain Center sends the facility a list of the qualified applicants
who have indicated availability for that location, work schedule, and
grade.  If your application is complete in the National Chaplain Center
on the day that a request is received, but has not yet been rated, the
Board will rate your application before constructing the list of
applicants.  Applicants are listed in order of their numerical rating. 
The medical center must select from among the top three available
applicants.  The medical center will contact you directly if an
interview is desired.  If you fail to reply to a phone call or letter
from a medical center you may be eliminated from further consideration
for the job.  If you decline consideration for three positions for which
you are referred, the National Chaplain Center will remove you from the
list of active applicants. 

EEO Policy Statement

The United States Government does not discriminate in employment on the
basis of race, color, religion, sex, national origin, political
affiliation, sexual orientation, marital status, disability, age,
membership in an employee organization, or other non-merit factor.

Reasonable Accommodation

Federal agencies must provide reasonable accommodation to applicants
with disabilities where appropriate. Applicants requiring reasonable
accommodation for any part of the application and hiring process should
contact the hiring agency directly. Determinations on requests for
reasonable accommodation will be made on a case-by-case basis.

Veterans Information

Veterans who served on active duty in the U.S. Armed Forces and were
separated under honorable conditions may be eligible for veterans'
preference. For service beginning after October 15, 1976, the veteran
must have served the required length of time and have a Campaign Badge,
Expeditionary Medal, a service-connected disability, or have served in
the Gulf War between August 2, 1990, and January 2, 1992.

The Veterans Employment Opportunity Act (VEOA) gives veterans access to
job vacancies that might otherwise be closed to them. The law allows
eligible veterans to compete for vacancies advertised under agency's
promotion procedures when the agency is seeking applications from
outside of its own workforce.

To claim veterans' preference, veterans should be ready to provide a
copy of their DD-214, Certificate of Release or Discharge from Active
Duty, or other proof. Veterans with service connected disability and
others claiming 10 point preference will need to submit Form SF-15,
Application for 10-point Veterans' Preference.

For more specifics on all veterans employment issues such as Veterans
preference or special appointing authorities see the VetGuide.

Legal and Regulatory Guidance

Social Security Number - Your Social Security Number is requested under
the authority of Executive Order 9397 to uniquely identify your records
from those of other applicants who may have the same name. As allowed by
law or Presidential directive, your Social Security Number is used to
seek information about you from employers, schools, banks, and others
who may know you. Failure to provide your Social Security Number on your
application materials, will result in your application not being
processed.

Privacy Act - Privacy Act Notice (PL 93-579): The information requested
here is used to determine qualifications for employment and is
authorized under Title 5 U.S.C. 3302 and 3361.

Signature - Before you are hired, you will be required to sign and
certify the accuracy of the information in your application.

False Statements - If you make a false statement in any part of your
application, you may not be hired; you may be fired after you begin
work; or you may be subject to fine, imprisonment, or other disciplinary
action.

Selective Service - If you are a male applicant born after December 31,
1959, you must certify that you have registered with the Selective
Service System, or are exempt from having to do so under the Selective
Service Law.

Number range CHAPTERDEPARTMENT OF VETERANS AFFAIRS

BOARD OF EXCEPTED SERVICE EXAMINERS

CHAPLAIN GRADE AND SCHEDULE OPTIONS DESIRED\*

(submit this page with the other material requested in announcement
BESE-A1)

GRADE(S) DESIRED (check as many as apply)

I wish to be considered for the following grade(s):

( ) grade GS-11 (full performance level) (Please respond to rating
factors A1 - A5 in your application)

( ) grade GS-11 (with promotion potential to GS-12) (Please respond to
rating factors B1 - B5 in your application)

( ) grade GS-12 ) (Please respond to rating factors B1 - B5 in your
application)

( ) all of the above (Please respond to rating factors A1 - A5 and B2 -
B5 in your application)

WORK SCHEDULES DESIRED (check as many as apply)

I wish to be considered for the following work schedules:

( ) full time (40 hours per week)

( ) part time 30 to 35 hours per week

( ) part time 24 to 29 hours per week

( ) part time 16 to 23 hours per week

( ) part time 10 to 15 hours per week

( ) intermittent (no regularly scheduled hours)

AVAILABILITY

If selected for employment I am available to report for work within
\_\_\_\_\_\_ days after notification; or by \_\_\_\_\_\_\_\_\_\_\_(date)

YOUR NAME (please print)

YOUR SIGNATURE DATE SIGNED

\*You may change these preferences whenever you desire by submitting a
new copy of this form. However, if you decline consideration three times
for position(s) that you have indicated you will accept, your
application will no longer be considered.

DEPARTMENT OF VETERANS AFFAIRS HEALTH CARE LOCATIONS

Circle on this sheet the locations, states, and/or regions where you
would like to be considered for employment. You may select any
combination of regions, states, locations, or the entire U.S. Note: Most
VA outpatient clinics are managed by one of the medical centers on this
list. By selecting one of these centers you will also be considered for
all of its outpatient clinics. (The 3-digit number is an internal VA
code. The 5 digits after the location is the zip code)

100 ENTIRE

CONTINENTAL UNITED STATES

REGIONS

901 NORTHEAST

(CT,ME,MA,NH,RI,VT

NJ,NY)

902 ATLANTIC

(DE,MD,PA,VA,WV,DC)

903 SOUTHEAST

(AL,FL,GA,KY,MS,NC

SC,TN,PR)

904 MIDWEST

(IL,IN,MI,OH,WI)

905 NORTH CENTRAL

(IA,MN,NE,ND,SD)

906 SOUTH CENTRAL

(AR,C0,KS,LA,MO,OK,

TX)

907 NORTHWEST

(AK,ID,MT,OR,WA,WY)

908 SOUTHWEST

(AZ,CA,NV,NM,UT,HI)

101 ALABAMA

521 Birmingham 35233

619 Montgomery 36193

679 Tuscaloosa 35404

680 Tuskegee 36083

102 ALASKA

383 Anchorage 99501

103 ARIZONA

644 Phoenix 85012

649 Prescott 88313

678 Tucson 85723

104 ARKANSAS

564 Fayetteville

72701

598 Little Rock

72205

105 CALIFORNIA

570 Fresno 93703

599 Livermore94550

605 Loma Linda 92357

600 Long Beach 90822

691 Los Angeles

90073

640 Palo Alto 94304

612 Sacramento 95655

664 San Diego 92161

662 San Francisco

94121

665 Sepulveda 91343

106 COLORADO

554 Denver 80220

567 Fort Lyon 81038

575 Grand Jct 81501

107 CONNECTICUT

627 Newington 06111

689 West Haven 06516

108 DELAWARE

460 Wilmington 19805

109 DISTRICT OF

COLUMBIA

688 Washington 20422

110 FLORIDA

516 Bay Pines 33504

573 Gainesville

32602

594 Lake City 32055

546 Miami 33125

673A Orlando 32803

673 Tampa 33612

548 West Palm Beach

33410-6400

111 GEORGIA

509 Augusta 30910

508 Decatur

(Atlanta) 30033

557 Dublin 31021

112 HAWAII

359 \*Honolulu 96813

113 IDAHO

531 Boise 83702

114 ILLINOIS

537 Chicago 60612

550 Danville 61832

578 Hines 60141

609 Marion 62959

556 North Chicago

60064

115 INDIANA

569 Fort Wayne 46805

583 Indianapolis

46204

610 Marion 46952

116 IOWA

555 Des Moines 50310

584 Iowa City 52240

592 Knoxville 50138

117 KANSAS

686 Leavenworth

66048

677 Topeka 66622

452 Wichita 67218

118 KENTUCKY

596 Lexington 40511

603 Louisville 40202

119 LOUISIANA

502 Alexandria 71301

629 New Orleans70146

667 Shreveport 71130

120 MAINE

402 Togus 04330

121 MARYLAND

512 Baltimore 21218

566 Ft Howard 21052

641 Perry Pt 21902

122 MASSACHUSETTS

518 Bedford 01730

523 Boston 02130

525 Brockton 02401

631 Northampton

01060

123 MICHIGAN

553 Detroit 48101

506 Ann Arbor 48105

515 Battle Creek

49106

585 Iron Mnt 49801

655 Saginaw 48602

124 MINNESOTA

618 Minneapolis

55417

656 St. Cloud 56301

125 MISSISSIPPI

520 Biloxi 39531

586 Jackson 39216

126 MISSOURI

543 Columbia 65201

589 Kansas City

64128

647 Poplar Bluff

63901

657 St. Louis 63125

127 MONTANA

436 Fort Harrison

59636

617 Miles City 59301

128 NEBRASKA

574 Grand Island

68801

597 Lincoln 68510

636 Omaha 68105

129 NEVADA

654 Reno 89520

758 Las Vegas 89102

130 NEW HAMPSHIRE

608 Manchester 03104

131 NEW JERSEY

561 East Orange

07019

604 Lyons 07939

132 NEW MEXICO

501 Albuquerque

87108

133 NEW YORK

500 Albany 12208

513 Batavia 14020

514 Bath 14810

526 Bronx 10468

527 Brooklyn 11209

528 Buffalo 14215

532 Canandaigua

14424

533 Castle Pt 12511

620 Montrose 10548

630 New York 10001

632 Northport 11768

670 Syracuse 13210

134 N. CAROLINA

637 Asheville 28805

558 Durham 27705

565 Fayetteville

28301

659 Salisbury 28144

135 NORTH DAKOTA

437 Fargo 58102

136 OHIO

538 Chillicothe

45601

539 Cincinnati

45220

541 Cleveland

44106

757 Columbus 43221

552 Dayton 45428

137 OKLAHOMA

623 Muskogee 74401

635 Oklahoma City

73104

138 OREGON

648 Portland 97201

653 Roseburg 97470

692 \*White City

97501

139 PENNSYLVANIA

503 Altoona 16603

529 Butler 15001

542 Coatesville

19320

562 Erie 16501

595 Lebanon 17042

642 Philadelphia

19104

645 Pittsburgh 15206

(Highland Drive)

646 Pittsburgh 15240

(University Dr)

693 Wilkes-Barre

18711

140 PUERTO RICO

672 San Juan 00927

141 RHODE ISLAND

650 Providence 02908

142 S.CAROLINA

534 Charleston 29403

544 Columbia 29201

143 SOUTH DAKOTA

568 Fort Meade 57741

579 Hot Springs

57747

438 Sioux Falls

57117

144 TENNESSEE

614 Memphis 38104

621 Mountain Home

37601

622 Murfreesboro

37130

626 Nashville 37203

145 TEXAS

504 Amarillo 79106

519 Big Spring 79720

522 Bonham 75418

549 Dallas 75216

756 El Paso 79925

580 Houston 77211

591 Kerrville 78028

611 Marlin 76561

671 San Antonio

78284

674 Temple 76501

685 Waco 76711

146 UTAH

660 Salt Lake City

84148

147 VERMONT

405 White River

Junction 05001

148 VIRGINIA

590 Hampton 23667

652 Richmond 23249

658 Salem 24153

149 WASHINGTON

505 American Lake

(Tacoma) 98493

663 Seattle 98108

668 Spokane 99208

687 Walla Walla

99362

150 WEST VIRGINIA

517 Beckley 25801

540 Clarksburg 26301

581 Huntington 25704

613 Martinsburg

25401

151 WISCONSIN

607 Madison 53705

695 Milwaukee 53295

676 Tomah 54660

152 WYOMING

442 Cheyenne 82001

666 Sheridan 82801

\*Domiciliary

January 2009

VA Chaplain Application Document Checklist

(This is for your convenience in assembling the necessary documents. You
do not have to include this page with your application. For complete
application instructions, see announcement BESE A3)

Application/resume (You may use federal form OF-612, or SF-171, or a
resume)

Declaration for Federal Employment (Form OF-306)

Ecclesiastical endorsement (dated within the past year)

Undergraduate transcripts (official)

Graduate transcripts (official)

Certificates showing completion of Clinical Pastoral Education.

If you have not completed two units of CPE submit detailed descriptions
of training that

you wish to have considered for equivalency.

Rating factor responses

(see the list of rating factors provided with announcement BESE A1.
Please respond to

both sets of rating factors if you wish to be considered for all grade
options)

Locations desired

(circle locations desired on the list of all VA facilities provided with
announcement BESE A1)

Grade and work schedules desired

(check desired grades and work schedules on the list provided with
announcement BESE A1)

Copies of any professional certifications or memberships

(for example Board Certification from APC, Clinical Membership in ACPE)

Military Discharge Certificate(s)

"DD-214." Submit copies of this form if you have had active military
duty and wish to

claim veterans preference

Claim for 10-Point Veterans Preference

"SF-15." Submit this form if you have a military service-connected
disability, a Purple

Heart, or other basis for claiming 10-point preference

SF-15 supporting documents

If you submitted a Claim for 10-Point Veteran Preference, SF-15, read
the instructions on the form regarding the documents that must accompany
it.