Department of Pastoral Counseling and Spiritual Care Forms

     
Departmental Handbook and Forms
        2009-2010 Pastoral Counseling Student Handbook
2009-2010 Pastoral Counseling Student Handbook Appendices
Tuition Grant Application (Web Form)
Academic Advising Forms
    
Clinical Forms
Acceptance Form
Acknowledgement of Policy and Procedures
Agreement MS/CAS Consultative Supervisor -Tape Agreement
Application for Clinical Internship
Clinical Case Supervision Presentation Feedback Form
Clinical Hours Helpful Hints in Counting
Clinical Hours Requirements
Clinical Hours Summary Form
Clinical Hours Worksheet (Excel; Auto-calculates)
Clinical Hours Worksheet (Word; Not auto-calculating)
Clinical Placement Update-Student
Confidentiality Agreement-Agency
Confidentiality Agreement-Parental
Confidentiality Agreement-Student
Confidentiality Agreement-Supervision
Description of Supervisory Roles
Difference between Spiritual Direction and Counseling
Evaluation of Clinical Case Supervisor
Evaluation of Clinical Placements and Supervisors
Evaluation of Student for Clinical Supervision
Expectations Clinical 2 Years-Agency and Students
Expectations MS and PhD Student and Supervisor
Goals for PC 661-PC 662
Goals for PC 663-PC 664
Mental Status Exam Example
PC 661 Case Presentation Format
PC 662-4 Case Presentation Format
Requirements for Clinical Placement Site Approval
Requirements of Clinical Field Supervisors and Interns
Small Group Feedback PC 661-PC 662
Small Group Feedback PC 663-PC 664
Summer Permission Form-Additional Clinical Hours
Therapy Reporting Form-Consent to Disclose Confidential Information
 Verbatim Requirements    
MA Forms
Field Placement Directory
Agency Questionnaire
Pastoral Care Directory Memo
Internship Directory Form
Supervisor Dossier
Internship Intent Form
Application for Internship
Internship Acceptance Form
Expectations of Field Supervisors
Class Confidentiality Agreement
Supervision Confidentiality Agreement
Intern Evaluation of Faculty
Intern Evaluation of Site
Internship Small Group Evaluation
Supervised Internship Evaluation
Internship Hours Summary Sheet
Permission to Share Pro-Seminar Paper
Service-Learning Contract
Consent to Disclose
Instructions for Pastoral Care Professional Seminar Integration Paper
Ph.D Program Forms
Dissertation Digitalization Permission
Qualifying Exam Application