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Supervised Ministry & Vocational Planning Office 3401 Brook Rd. Richmond VA 23227 (804) 278-4220 fax (804) 278-4269 [email protected] 1900 Selwyn Ave. Charlotte NC 28274 (704) 337-2450 fax (704) 688-2802 [email protected] LEARNING COVENANT Student: ____________________________________________________ Supervisor: __________________________________________________ Congregation/Agency: __________________________________________ City/State: __________________________________________________ The attached learning goals have been discussed and approved by both student and supervisor. Should the learning goals require change during the internship, the Director/Associate Director will be notified. I certify that I have read and agree to these learning goals. ________________________________ ________ Supervisor Date ________________________________ ________ Student Date ________________________________ ________ Director/Associate Director of Field Education Date Signed copies to: 1. Supervisor

Learning Covenant

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Page 1: Learning Covenant

Supervised Ministry & Vocational Planning Office 3401 Brook Rd. Richmond VA 23227 (804) 278-4220 fax (804) 278-4269 [email protected]

1900 Selwyn Ave. Charlotte NC 28274 (704) 337-2450 fax (704) 688-2802 [email protected]

LEARNING COVENANT

Student: ____________________________________________________

Supervisor: __________________________________________________

Congregation/Agency: __________________________________________

City/State: __________________________________________________

The attached learning goals have been discussed and approved by both student and supervisor. Should the learning goals require change during the internship, the Director/Associate Director will be notified.

I certify that I have read and agree to these learning goals.

________________________________ ________Supervisor Date

________________________________ ________Student Date

________________________________ ________Director/Associate Director of Field Education Date

Signed copies to: 1. Supervisor2. Student3. Supervised Ministry & Vocational Planning Office

Page 2: Learning Covenant

05/09

Page 3: Learning Covenant

Supervised Minstry & Vocational Planning Office

LEARNING COVENANT

Plan for Achieving Student Learning Goals(complete a separate plan for each learning goal)

1. Identifying the Learning Goal.State the goal, specifying the knowledge, competency, skill, maturity, etc., you will possess when this learning goal has been accomplished.

2. Achieving the Learning Goal. List the ministry tasks you can do that will enable you to work toward this goal.

List the ministry tasks that you will observe others doing in order to move forward on this goal.

3. Resources.Write the names of ministers and/or lay persons with whom you will consult to gain insight and direction on this goal.

Cite any articles or books that you will read to assist your growth and learning in relation to this goal.

4. Supervision.

Write out questions and concerns related to this goal that you will discuss with your supervisor.

Page 4: Learning Covenant

Lay Committee Information(for parish settings only)

Please provide the names, phone numbers, and e-mails for the lay committee members.

Lay Committee Members

Name Phone Number E-mail Address

Dates and Times of Lay Committee Meetings: