PATH TO M.DIV. EQUIVALENCY as pre-requisite for admission to the Doctor of Ministry Degree Program SAINT MARY SEMINARY AND GRADUATE SCHOOL OF THEOLOGY Office of the Academic Dean 28700 Euclid Avenue Wickliffe, OH 44092 Phone: 440-943-7600 www.stmarysem.edu
BIOGRAPHICAL INFORMATION (Please print or type) Name Date of Birth Form of Address: (Father, Deacon, Sister, Brother, Mr., Mrs., Ms. Other?) Address Home Phone: Cell Phone: Email: Current Employment or Ministry Title Place of Ministry Ministry Address Ministry Phone Social Security # Gender: M F If married, name of spouse Religious affiliation/parish Date of Ordination (if applicable) Date of Religious Profession (if applicable) Date of Certification for Pastoral Ministry (if applicable) Application 2
Letter of Intent to pursue the Saint Mary Seminary and Graduate School of Theology Academic Dean Registrar Finance Office As a Master of Arts Degree graduate of Saint Mary Seminary and Graduate School of Theology, I confirm my intent to pursue the as pre-requisite for eventual admission to the Doctor of Ministry program. I understand that I must maintain a minimum GPA of 3.0 throughout the post-graduate period and continue my ministry involvement as a context for the field experience component and eventual Doctor of Ministry project. I understand that the Office of the Academic Dean will provide academic counseling throughout the, and that prior permission must be obtained for Independent Studies and online options. If my ministry goals or personal situation change, and the is no longer feasible, I understand that I must inform the Office of the Academic Dean in writing of my intention to discontinue or take a leave of absence from this program. I also understand that the does not confer a certificate or Master of Divinity degree, but is intended solely to assist me achieving equivalency according to the standards of the Association of Theological Schools. Assuming my successful completion of the, it is my intention to request admission to the Doctor of Ministry Degree program at Saint Mary Seminary and Graduate School of Theology. Student s Signature Date Approved: Date Application 3
Financial Agreement Re: Academic Dean Registrar Finance Office Post-graduate Financial Agreement and Payment Plan Since it is my intent to pursue the post-graduate, I understand that I am financially responsible for the special rate of $4900 (approximately $175 per credit hour) for the entire. I understand that this amount covers all academic courses and field experience requirements undertaken to achieve M.Div. equivalency. I expect that my financial obligation will be met according to the following payment plan: $ per semester, in monthly payments of to be paid in full by the last day of the current semester. [*Recommended plan: $820/semester in payments of $205/month.] Other: (Please explain) *Note: If this payment plan needs to be amended, the student is to contact the Finance Office to document the change. **If the student decides to withdraw from the no refund will be made, unless the total amount paid exceeds $175 per credit hour already taken. If the student has not paid approximately $175 per credit hour taken, the student will be billed for the difference to complete the financial obligations. Published financial policies of Saint Mary Seminary and Graduate School of Theology as posted on the seminary website apply to post-graduate students. (Note: If online courses are taken at other approved universities, the student must meet the application procedures and financial obligations of the university. In this case the Saint Mary Seminary cost per credit does not apply.) Student s Signature Date Approved: Date Application 4
Faculty Recommendation Academic Dean Registrar From: (Faculty Member) Recommendation for (Student s Name) Please give reasons why you believe this student will be a successful post-graduate student and eventual candidate for the Doctor of Ministry degree program at Saint Mary Seminary and Graduate School of Theology. (Limit response to the space provided.) Faculty Member s Signature Date (Please return this form to the Academic Dean or Registrar) Application 5
Statement of Ministry Involvement A pre-requisite for admission to the Doctor of Ministry Degree Program Pastor Ministry Supervisor (Student s name) has applied to the Path for M.Div. Equivalency at Saint Mary Seminary and Graduate School of Theology, leading to the eventual admission to the Doctor of Ministry Degree program. Please detail this student s ministry involvement in your parish. Comment: This student will also be required to engage in eight (8) credit hours of supervised field experience in their place of ministry. Are you willing to assist this student as the field experience supervisor or to appoint another staff member to this role? Yes No Parish: Pastor s Signature Date Supervisor s Signature (if other than the Pastor) Date Application 6
Field Experience Plan Academic Dean, Registrar, Field Experience Director The purpose of the Field Experience in the Path to M.Div. Equivalence is to provide the postgraduate student supervised experiences in which advanced ministry skills may be intentionally fostered and the Church s theological foundations for ministry may be actualized. Student: Place of Ministry: Address of Ministry: Supervisor: Phone Contact: Course: FE 810 (4 cr. hrs.) FE 820 (4 cr. hrs.) Dates of Plan Duration: 1. What specific learning goals are to be met during this Field Experience? (State at least 3 that include the outcomes of communication and collaboration.) 2. Select TWO professional learning goals that focus on the development of advanced leadership skills in ministry. 3. List the ministerial responsibilities or opportunities that are available to you to actualize this field experience plan. Application 7
4. In addition to your field experience supervisor, what other staff persons and/or lay leaders will you collaborate with to achieve the goals of this plan? Give names and titles. 5. What professional resources, e.g. theological reading, online resources, other mentors, etc. will be helpful in order to ground this plan in the Church s theological Tradition and mission? (Theological Thinking) 6. How do you personally expect to grow in your formation as a Christian Disciple and deepen your spirituality of ministry during this field experience? Supervisor s Agreement... I have discussed the above field experience plan with this student and agree to support the goals and activities included. I agree to meet with this student at least four times during the duration of this plan to give feedback and support based on the learning goals of the Field Experience Plan.(Supervisory discussions should include analysis and theological reflection on specific events/occurrences encountered in the student s ministry.) Proposed dates and times of supervisory sessions: Date/Time: Date/Time: Date/Time: Date/Time: Supervisor s Signature: Date: Application 8
Field Experience Plan Summative Evaluation: At the conclusion of the field experience, the student will complete the following evaluation. The supervisor is asked to add evaluative comments. Student: Course: FE 810 (4 cr. hrs.) FE 820 (4 cr. hrs.) In a two-four page double-spaced paper, the student is to comment on how the learning goals of the field experience plan were realized. Include in your paper at least four events/occurrences in your ministry which you discussed with your supervisor. Include the points of analysis and theological reflection for each. (Append your reflection to this form.) ------------------------------------------------------------------------------------------------------------------- Supervisor: The field experience supervisor is asked to briefly comment on the student s advanced ministry skills evident in the activities and responsibilities included in the above plan. What are the student s ministry strengths? Challenges for continued growth? Other comments? Supervisor s Final Evaluation (Pass/Fail grade) Supervisor s Signature: Date: (Please give this completed form to the student, or if you prefer, mail or e-mail the form to the Registrar or Field Experience Director at Saint Mary Seminary and Graduate School of Theology. Application 9