Chaplain Report

Name

First Name

Last Name

Date

Enter the last day of the month.

YYYY

Total chaplaincy hours

Enter the total number of chaplaincy hours completed last month.

Number of CEUs completed?

Number of individual and group CISDs conducted?

Number of counseling opportunities?

Number of professional counseling referrals?

Number of funerals attended or officiated?

Number of gifts provided?

Number of meals provided?

Number of speaking engagements?

Number of weddings attended or officiated?

Add any additional chaplaincy services provided last month.

Highlights

Highlight some conversations or impactful short stories from last month. Reminder to email or text Lonnie highlight pictures.