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Certification Commission Policy and Procedure Manual

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<strong>Policy</strong> <strong>and</strong> <strong>Procedure</strong>s January 2005<br />

APPENDIX 3 F cont’d<br />

INTERVIEWEE:<br />

Page 3<br />

Following review, the sub-committee must adopt one of the following rulings<br />

(<strong>Certification</strong> <strong>Manual</strong> page 37, Part Two IV. J. 4 ). Indicate the ruling adopted:<br />

____ confirm pastoral, supervisory <strong>and</strong> conceptual competence; the review is<br />

ended.<br />

____ admonish, with specific recommendations for enhancing supervisory<br />

competence.<br />

____ reprim<strong>and</strong> <strong>and</strong> give specific instructions for remediation to be followed<br />

under the direction of the regional certification committee for a<br />

designated period of time.<br />

____ deny the right to practice CPE supervision for a specified period of<br />

time.<br />

____revert to Supervisory C<strong>and</strong>idate status.<br />

____ withdraw certification.<br />

Recommendations or Reasons for This Action:<br />

SUBCOMMITTEE MEMBERS:<br />

(Please Print)<br />

_____________________________________<br />

Presenter<br />

_____________________________________<br />

Sub-committee chair<br />

_____________________________________<br />

_________________________<br />

_________________________<br />

_____________________________________<br />

<strong>Certification</strong> <strong>Commission</strong> Chair<br />

31

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