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California Lutheran University
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PLTS Internship Student Intent to Apply
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Student Information
First Name
Last Name
Pronouns
Cell Phone Number
Advisor
Adam Braun
Shauna Hannan
Cynthia Moe-Lobeda
Kirsi Stjerna
Leslie Veen
n/a
Roster
Word & Sacrament (ELCA)
Word & Service (ELCA)
Non-ELCA seeking ordination
Not seeking ordination
Select all that apply
Internship Plans
Internship Plans
I plan to apply to start internship during the 2025-26 Academic year
I plan to submit a petition to the faculty to geographically restrict for internship
I plan to apply for the ELCA Horizon International Internship Program
Anticipated first month of internship
Aug/Sept
Jan/Feb
June/July
Other
Geographic Restriction
Geographic Restriction
I have made my synod's candidacy committee aware of my intention to geographically restrict for internship
I have not yet made my synod's candidacy committee aware of my intention to geographically restrict for internship
ELCA Horizon International Internship Program
ELCA Horizon International Internship Program
I have made my synod's candidacy committee aware of my intention to apply for the Horizon International Internship Program and they have given their approval
I have not yet made my synod's candidacy committee aware of my intention to apply for the Horizon International Internship Program
Academic Readiness
Academic Readiness
I will meet with my advisor before Reading Week 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)
Denominational Readiness
ELCA Students
ELCA Students
I have received a positive Endorsement Decision
I have not yet been Endorsed
My synod's Candidacy Committee is aware that I am completing a final year internship
Synod of Candidacy
Date for Endorsement Panel
make sure your advisor is aware of this date as they should be present
Date for Endorsement Panel
make sure your advisor is aware of this date as they should be present
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Date of Endorsement Decision by Committee
Date of Endorsement Decision by Committee
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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
Submit