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Become a Field Education Site

Find Your Program Apply Online Visit Campus Request Info

Become a Field Education Site

* 1. Organization

2. What is the mission or primary purpose of your organization?

3. Organization’s physical address (please add mailing address if it’s different)

4. Organization website and social media links

5. Name of the person supervising the student

* 6. Supervisor e-mail (An automated response will be sent to this address)

7. Supervisor phone

8. Please describe the formation opportunities that will be available to the student

9. What specific tasks or ministry areas would you like to see the student lead?

10. Describe the physical space and resources available for the student

11. Please summarize your professional experience as a manager or supervisor

12. Please describe any experience supervising or mentoring students

13. List your relevant degrees or certifications

14. Please list your ordination/licensure/endorsement (including the ecclesial body and date)

15. How would you describe your supervisory style?

16. What population does your site serve or engage?

17. How would you describe your site’s broader context?

18. What are the organization’s strengths?

19. Are there other lay leaders or volunteers who can contribute regularly to the field education experience with support, observation, feedback and assessment?

20. What monthly stipend, if any, can the organization provide for a student?

21. What mileage reimbursement, if any, can the organization provide for the student?

22. Do you have any restrictions on the students you can interview based upon your funding source?

I affirm that I will attend two supervisor trainings.

Yes

No

I affirm that I will meet with the student weekly for an hour of supervision with theological reflection.

Yes

No

I affirm that I will submit covenants and evaluations by the deadlines

Yes

No

I affirm that I intend to be in this leadership and supervisory position for the next year

Yes

No

I affirm that I will communicate any challenges and concerns proactively to the student. If there is not resolution I will contact the field education director for mediation.

Yes

No

PTS Field Education Manual

I will abide by the policies and statements set forth in the PTS Field Education Manual

Yes

No

Have you ever been sanctioned for misconduct by an ecclesial or civil body? Yes/No

Yes

No

* required

Pittsburgh Theological Seminary
616 North Highland Avenue
Pittsburgh, PA 15206
Phone: 412-362-5610

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