Chaplain Activity Report
Chaplain Name
Select Chaplain
C1 Jim Dixon
C2 Donald Miller
C3 Robert Box
C4 Eddie Davis
C5 Jacqueline Eakins
C6 Jerry Bolander
C7 Dave Hadsell
C8 Mark Jechura
C9 Jo Jones
C10 Jessica Betts
C11 Terry Simmons
C12 Charles Walden
JC1 Peggy Arend
Date of Event
Type of Event
Select Type
Administrative Tasks (Details Below)
CISM Event
Counseling (Do Not Share Details)
Death Notification
Fire
Jail Visit (Details Below)
Ride-Along
Training
Other (Explain Below)
Agency (Other than BCSO)
Time Notified
Time Arrived
Time Left Scene
Details (Do not include counseling details)
Would you like to be contacted regarding this event?
No
Yes
Is follow-up necessary?
No
Yes
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