Personal Info
| Church/Organization | |
| Preferred First Name | |
| Suffix | III |
| Street Address | 3529 Adenmor Ct |
| City | Clovis |
| Postal/Zip Code | 88101 |
| Mobile Phone | |
| Home Phone |
General Membership Info
| Membership Credential | |
| Mailing List | Yes |
| Marital Status | Single |
Chaplaincy Info
| Endorsement | EE |
| Chaplain Status | |
| Classification | Endorsed |
| Military Branch | Air Force |
| Military Service Type | Reserve |
| Military Rank | Captain |