PLTS Ministry in Context - Student Application

You must complete this form in one sitting - you cannot save and return to this form. You may want to make note of the questions and answer in another program, and then copy/paste into this form. This is especially true for the autobiography.

MIC I

MIC II

Student Information

First Name

Last Name

Pronouns

Student ID

Degree Program

Roster Type

Current City, State & Zip Code of Residence

Home Congregation (including city & state)

Denominational Affiliation

Home Synod / Conference / Presbytery / Diocese, etc.

Do you currently have a job with Sunday morning responsibilities?

Briefly describe your position & responsibilities:

ELCA Students: Are you Entranced?

Yes

No

Date (or anticipated date) of Entrance

What semester do you anticipate starting MIC?

MIC Setting desired this semester

Do you have a vehicle?

Yes

No

What type? (bike, car, truck ,etc.)

How many miles maximum are you willing and able to commute to your MIC site?

List some cities/towns to which you would consider commuting for MIC:

Number of Years in Congregations of these Sizes

Less than 100 members

100-250 members

250-500 members

500-1000 members

More than 1000 members

Personal Statements

Briefly describe your previous worshiping communities, including 'styles' of worship:

Briefly describe your vocational goals - areas of ministry or kinds of settings you imagine for your future work.

Describe the pastors you have worked with in terms of gender/sexuality, race/ethnicity, age, and other qualities that you think were significant in how they presented and led:

List some of your leadership gifts and skills

List 3 areas in which you would like to grow during Ministry in Context I and II:

List 3 areas in which you would like to grow during this semester of MIC:

What are some things that you find helpful in receiving feedback:

If you have suggestions for congregations you would like to serve as an MIC site, please list them and the names of the pastors (if known) below:

If you have suggestions for entities or programs you would like to serve as an MIC site, please list them and the names of the contact person (if known) below:

Autobiography

Write a short autobiography to be shared with the site supervisor before you begin.