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Certification Commission Policy and Procedure Manual

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APPENDIX 3 F cont’d<br />

INTERVIEWEE:<br />

Page 2<br />

Has the Interviewee Maintained Faith Group Endorsement (See Appendix 5 ACPE<br />

Ecclesiastical Endorsement Conflict Resolution <strong>Policy</strong>)? ____ Yes ____ No<br />

Evaluate the Following Professional Competencies (Affirmation of competency to supervise<br />

requires a "satisfactory" rating in each of these four categories.):<br />

A. Supervisory Competence St<strong>and</strong>ard 406<br />

__________ Satisfactory<br />

________ Unsatisfactory<br />

B. Conceptual Competence St<strong>and</strong>ard 407<br />

__________ Satisfactory<br />

________ Unsatisfactory<br />

C. Collegial Competence St<strong>and</strong>ard 410.2<br />

__________ Satisfactory<br />

________ Unsatisfactory<br />

Further address Items A-C as needed, with particular attention to areas of concern related<br />

to the review request:<br />

30

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