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* 1. Your name
2. Your phone number (optional)
* 3. Your PTS email address
* 4. Your relevant professional experience, if any (including dates)
* 5. Your previous experience being supervised, if any
* 6. How would you describe the style of supervision you prefer?
7. Your relevant degrees and/or certifications, if any (including institutions and dates)
8. Your ordination/licensure/endorsement, if any (including ecclesial body and date)
* 9. How would you describe the gifts and strengths you bring to field education?
* 10. In what ways are you hoping to learn and grow in field education?
* 11. What opportunities are you hoping would be available for you at a field education site?
* 12. How do you currently imagine your future beyond PTS?
* 13. Could you drive to a field education site?
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* 14. Will you meet with your supervisor weekly for an hour of supervision with theological reflection?
Yes
No
* 15. Will you submit a Learning Covenant, a Mid-Year Evaluation and a Final Evaluation in a timely manner?
Yes
No
* 16. Will you communicate and consult with the director of field education about any challenges or concerns in supervision?
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No
* 17. Will you abide by PTS’s statement of professional ethics in field education?
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