Certification Commission Policy and Procedure Manual
Certification Commission Policy and Procedure Manual Certification Commission Policy and Procedure Manual
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
- Page 1: Certification Commission Policy and
- Page 4 and 5: CERTIFICATION COMMISSION POLICY AND
- Page 6 and 7: completing the Regional Certificati
- Page 8 and 9: Appendices APPENDIX 1 ACPE CERTIFIC
- Page 10 and 11: APPENDIX 2-A ACPE CERTIFICATION COM
- Page 12 and 13: APPENDIX 3-A CONSULTATION ON READIN
- Page 14 and 15: APPENDIX 3-A cont’d CONSULTEE: Pa
- Page 16 and 17: APPENDIX 3-B cont’d REGIONAL CERT
- Page 20 and 21: APPENDIX 3-C cont’d CERTIFICATION
- Page 22 and 23: APPENDIX 3-D The report of this mee
- Page 24 and 25: APPENDIX 3 D cont’d APPLICANT: Pa
- Page 26 and 27: APPENDIX 3 E REQUEST FOR ACPE SUPER
- Page 28 and 29: APPENDIX 3-E cont’d APPLICANT: Pa
- Page 30 and 31: APPENDIX 3-F APPEARANCE FOR REVIEW
- Page 32 and 33: APPENDIX 3 F cont’d INTERVIEWEE:
- Page 34 and 35: APPENDIX 3 G CONSULTATION TO MAINTA
- Page 36 and 37: APPENDIX 3 I COMMITTEE CONSULTATION
- Page 38 and 39: APPENDIX 5 ACPE ECCLESIASTICAL ENDO
- Page 40 and 41: ASSOCIATION FOR CLINICAL PASTORAL E
- Page 42 and 43: Declaration Procedures for Candidat
- Page 44 and 45: 6. How are persons prepared and tra
- Page 46 and 47: ________ 5. Is this group listed in
- Page 48 and 49: (Practical application: Is the theo
- Page 50 and 51: Appendix 11 Instructions from the C
- Page 52 and 53: e, and should not become, a continu
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