Certification Commission Policy and Procedure Manual

Certification Commission Policy and Procedure Manual Certification Commission Policy and Procedure Manual

pacificregionacpe.org
from pacificregionacpe.org More from this publisher
12.05.2014 Views

APPENDIX 3 B cont’d APPLICANT: Page 3 4. Applicant’s understanding of applicant’s desire to be a supervisor and potential as clinical pastoral educator. List Strengths and Areas of Needed Growth: Recommendations: Committee Members (Please print) _________________________________________ Committee Chair _________________________________________ _________________________________________ __________________________________ Presenter __________________________________ __________________________________ _________________________________________ Regional Accreditation Chair 16

APPENDIX 3-C REQUEST FOR EXTENSION OF SUPERVISORY CANDIDATE STATUS OR ASSOCIATE SUPERVISOR STATUS “That all candidates certified prior to Jan. 1, 2005 will have six years from Jan. 1, 2005 to be certified as Associate Supervisor.” Passed/ratified 05/06 A. The report of this meeting includes: • Evaluation of written materials (including consumer reports). • Summary of interview process (describing the interaction of the applicant with the subcommittee). • Evaluation of the applicant’s rationale for requesting an extension. • Summary of applicant’s supervisor/supervisory related activities since last committee appearance. • Committee suggestions and/or recommendations • Clear indication whether the request for extension is granted or denied. • Names of committee members. B. Additional information to include for extension of Supervisory Candidate status: • Evaluation of applicant's response to any recommendations or suggestions given by previous certification committee, and • Evaluation of applicant’s progress on position papers, articulation of theory development and the integration process. C. Additional information to include for extension of Associate Supervisor status: • Evaluation of applicant's response to any notations, recommendations or suggestions given by previous certification committee (with the understanding that notations may be removed only by the Certification Commission, not by regional certification committee). 17

APPENDIX 3 B cont’d<br />

APPLICANT:<br />

Page 3<br />

4. Applicant’s underst<strong>and</strong>ing of applicant’s desire to be a supervisor <strong>and</strong> potential as<br />

clinical pastoral educator.<br />

List Strengths <strong>and</strong> Areas of Needed Growth:<br />

Recommendations:<br />

Committee Members (Please print)<br />

_________________________________________<br />

Committee Chair<br />

_________________________________________<br />

_________________________________________<br />

__________________________________<br />

Presenter<br />

__________________________________<br />

__________________________________<br />

_________________________________________<br />

Regional Accreditation Chair<br />

16

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!