Forms for Field Education

If you have any questions about the following forms or need additional information, please contact the Field Education Office at (773) 256-0746 or email Marji Shannon at mshannon@lstc.edu.

Information about each category is provided below:
      Associate in Ministry & Diaconal Ministry
      Clinical Pastoral Education (CPE)
      Ministry in Context (MIC)
      Internship

To be filled out by the site, supervisor, mentor and/or project director
      Field Work Site Application
     Supervisor, Mentor, Project Director Application (same application to be completed by each person involved.)
      Final Evaluation of the Field Work Lay Committee
      Final Evaluation of the Field Work Supervisor

To be filled out by the student
      Field Work Data Placement Form
      Formation Component - Spiritual Direction
      Final Field Work Evaluation of the Student

The experience of supervised clinical ministry provides an opportunity to practice the art of pastoral care while converting experience into learning in direct, integrated ways. Certain rostered positions within the ELCA require or highly recommend candidates complete a unit of supervised clinical ministry. The normative program to fulfill this unit is Clinical Pastoral Education accredited by the Association for Clinical Pastoral Education. For more information on what CPE is along with how to apply to sites and which sites are accredited, go to www.acpe.edu.

Highlights

In the Fall Semester of every school year, the Field Education/Candidacy Office conducts a CPE Orientation meeting that gives students basic information and the opportunity to get their questions answered. For specific date of meeting refer to the Junior Calendar under Field Education and Candidacy Calendars.

A unique opportunity for those looking for an urban experience is the Urban CPE Consortium, Inc. Program located here in Chicago.

Explanation and details for the Urban CPE Consortium, Inc. Program
Application for the Urban CPE Consortium, Inc. Program

Be aware that some candidacy committees require students to complete their unit of CPE before allowing them to proceed to the Endorsement Step.

Ministry in Context

Site Forms:

      MIC Congregational Application (New 2007)
      MIC Site - Supervisor Calendar
      MIC Preferences - Congregation
      MIC Final Evaluation - Supervisor

Student Forms:

      Ministry in Context Calendar (2008-2009)
      MIC Data Form-Student
      Student Preference Sheet
      MIC Learning Contract
      MIC Proposed Project Form
      MIC Supervision Form
      MIC Completed Project Form
      MIC Final Evaluation-Student

      17 Steps to Your Internship Assignment (calendar of important dates)
      Internship Data Placement Form-To be completed by student. (html web page)
      -Download file: Internship Data Placement Form (Microsoft word file)
      -Download file: Internship Data Placement Form (PDF)
      Forms to turn in during your internship year.
      Additional information and other internship forms can be found on the ELCA web page: http://www.elca.org/candidacy/forms/.

This page was last updated on July 24, 2008

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