PLTS Internship - Student Intent to Apply

Anticipated Academic Year of Internship

Anticipated Type of Internship

Geography

Geographic Area I need to restrict to:

Academic Readiness

I have met with my advisor to ensure that I am on track for completing all pre-internship coursework

I will meet with my advisor to ensure that I am on track for completing all pre-internship coursework

I have completed CPE and my final reports are on file with the Context Ed office or will be before Reading Week.

I have attended the PLTS boundaries workshop

I acknowledge that anti-racism work is vital and ongoing

I will participate in an anti-racism group this fall.

Languages I speak/read, other than English, at a proficiency level appropriate for ministry
(preaching, teaching, pastoral care)

Areas of Specialization

Denominational Readiness

ELCA Students

I have received a positive Endorsement Decision

I have not yet been Endorsed

Synod of Candidacy

Date of Endorsement Panel
make sure your advisor is aware of this date as they should be present

Date of Endorsement Decision by Committee

The above dates are:

scheduled

anticipated

Non-ELCA Students

Denominational Affiliation

Middle Judicatory Name (diocese, conference, presbytery, etc...)

Denominational Contact Person's Name

Denominational Contact Person's Pronouns

Denominational Contact Person's Title

Denominational Contact Person's Email

Denominational Contact Person's Phone

Number of internship hours required

Key denominational requirements for internship

Please share your hopes/plans and vocational goals for internship

PLTS Internship - Student Intent to Apply - Word & Service