Diaconal Ministry

Formation Component - Spiritual Direction

Field Education Office, Lutheran School of Theology at Chicago

Submitted by: ____________________________________________ Date: _______________

"Diaconal Ministry students are to enter into a relationship with a Spiritual Director for spiritual direction and/or reflection. This is a minimum commitment of forty hours, at least ten of which are direct contact hours."

I have chosen as my Spiritual Director: __________________________________________

Address __________________________________________

__________________________________________

Her/his credentials for Spiritual Direction are:

Please provide the following information for your meetings with your Spiritual Director. (Note: a minimum of ten hours needs to be documented.)

Date Hours Date Hours

________ ____________ __________ ___________

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Please provide the following information on your personal reflection time. (Note: Diaconal Ministry candidates must document a total of 40 hours of reflection time including the hours spent with the Spiritual Director.)

Date Hours Activity (such as reflection, journaling, guided imagery, etc.)

________ ______ ____________________________________________________

________ ______ ____________________________________________________

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Student's signature Date Submitted

NOTE: It is the student's responsibility to forward a copy of this completed form to their Synodical Candidacy Committee.