PLTS Ministry in Context Congregational Site Info

Ministry Information

Ministry Name

Address

Country

Street

City

Region

Postal Code

Office Phone

Office Email

Website

Facebook

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Student Information

Student Name

Semester(s) student will serve at this site

PLTS Statement of Inclusion

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 require that all MIC sites extend the same welcome. Please indicate whether or not you and your community agree with this statement and if you are currently practicing such hospitality. If you are, please share examples of how you are living out this hospitality in your community in the first text box below. If not, please indicate in what ways you are unable to meet these expectations in the second text box

We agree with this statement and are currently practicing such hospitality in ways described below.

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

We do not agree with this statement.

We are exhibiting hospitality as outlined in the PLTS Statement of Inclusion in the following ways:

We are unable to meet these expectations for these reasons:

Commuter Reimbursement

We acknowledge that we, as the congregation, are responsible for the reimbursement of commuting & costs for the student for the duration of their contextual education placement. This includes transit costs or mileage/auto reimbursement and tolls, as well as any expenses incurred in the work of MIC. (Other needs that arise may be discussed with the student and the office of contextual education.)

Supervisor's Statement

Name

Pronouns

Length of time supervisor has served at this site:

I understand that the Ministry in Context (MIC) program requires the following commitments from me:

1. Establish a Lay Committee of 3-4 people before the student begins;

2. Meet with the student for reflection sessions at least once per month to focus on:

the student's personal, theological, and diaconal or pastoral growth;
feedback involving student participation in ministry--highlighting the areas of growth and success as well as areas for continued learning and development;
integration of academic and experiential learning;

3. Provide the student with leadership experiences in ministry, including regular worship leadership in a variety of roles;

4. Complete end-of-semester student reflection conversations and forms in a timely manner

Supervisor's Signature