PLTS Congregation Intent to Apply for Internship

The ELCA candidacy manual requires students seeking ordination as a pastor to complete 2000 hours of internship. This is typically accomplished in a 12 month, full-time internship that usually begins in August or September.

The ELCA candidacy manual requires students seeking ordination as a deacon to complete 1000 hours of internship. There is no 'typical' deacon student internship. It can be accomplished in a congregation alone; or with a primary setting in a non-profit or other setting, combined with a smaller number of hours per month in a congregation.

We are open to students who are (please select all that apply)

pursuing ordination as a Deacon

pursuing ordination as a Pastor

not pursuing ordination

We are intending to apply to be an internship site for the following academic year:
Most Word and Sacrament internships begin in August or September and typically are for 12 months. Word and Service Internships start typically in January/February or August/September and often are for 6 months, if full-time.

Congregation Information

Congregation Name

Address

Country

Street

City

Region

Postal Code

Phone

Website

Synod

Has the Congregation served as an internship site in the past?

Yes

No

What years & with which seminary has the congregation served as an internship site?

Supervisor Information

Supervisor Name

Pronouns

Position

Supervisor Phone

Supervisor Email

Most Recent Boundaries Training

Most Recent Anti-Racism Training

Site Preparedness

Please select all that apply.

Our Congregation’s Council has discussed this opportunity and the financial obligations and has given consent to the application process by formal vote.

Our Congregation as a whole has been informed of this opportunity and the financial obligations and has given consent to the application process by formal vote.

Our Congregation will be presented with the information regarding this opportunity at an upcoming Congregational meeting to be held on:

Date:

We have contacted the synodical bishop and have received their support and endorsement

Statement of Welcome

Please read the welcome statement of PLTS and select the response that best applies to your community.

PLTS is an inclusive community and offers hospitality to all who participate in our programs of study. As disciples of Christ committed to public leadership among God's people in diverse and challenging cultural contexts, we eagerly learn from and welcome one another's diversity, including, but not limited to, theological perspective, race, ethnicity, nationality, gender identity, relationship status, age, physical ability, social and economic status and sexual orientation.

We ask all congregations/agencies to extend the same welcome. Please indicate whether or not you and your community agree with this statement and are currently practicing such hospitality. If you are not, please indicate in what ways you are unable to meet these expectations in the comment section below.

We agree with this statement and are currently practicing such hospitality.

We agree with this statement but are not currently practicing such hospitality for the reasons listed below.

We do not agree with this statement.

Financial Agreement

Internship sites pay a one-time fee of $1500 to PLTS (current amount for 2024-25, subject to change in future years) and a monthly stipend of $2,000 (current amount for 2024-25, subject to change in future years) to the intern. Housing and utilities are to be provided, unless the site is designated for a geographically-restricted student.

Travel Pool & Administrative Fee ($1500)

Monthly Stipend ($2000)

Housing with utilities

Is housing secured?

Yes

No

Please describe what kind of housing has been secured: apt, house, etc.; number of bed/bathrooms; furnished / unfurnished; parking; laundry facilities, etc.

Does the secured housing allow pets?

No

Cats

Dogs

Weight limit

Explanation of answers above

Signature

By providing my electronic signature, I agree to be the contact person for this process and state that the above information is true to the best of my knowledge

If not the supervisor listed above, the signatory's role in the Congregation

If not the supervisor listed above, the signatory's email & phone number