The Office of Field Education
International Placement
Learning-Serving Covenant
(dueto the Office of Field Education 3 weeks after arrival)
Name of Student: EnterStudent’s Name.
Placement Location: EnterLocation.
Name of Ministry Setting: Enter Name of Ministry Setting.
Supervisor’s Name: Enter Supervisor’s Name.
Intern’s Previous Field Education Experience: Enter previous experience.
Page 1Learning-Serving Covenant for Domestic Placements Form Rev. 20160929
SECTION I
(to be completed by the intern in consultation with the supervisor)
- Describe your long-range vocational plans.
2. What specific learning goals do you hope to achieve in this Field Education placement?
Enter specific learning goals.
3. How do you plan to meet these learning goals?
Enter your plan to meet your learning goals.
4. Are there any tasks or responsibilities that you have that will NOT contribute to your learning goals?
Enter text.
5. What other educational or church experiences have you had that will help you serve in this placement?
Enter text.
6. What do you hope to gain from serving in an International setting? How will this experience help prepare you for vocational ministry?
Enter text.
SECTION II
(to be completed by the supervisor after the intern has completed Section I)
A. Do you consider these learning goals to be realistic and adequately challenging for this intern at her/his stage of vocational discernment as well as appropriate for this field setting? Explain.
Enter text.
B. Describe your personal and professional commitment to this intern’s learning process and your plan for supervision and mentoring. Who else in the congregation/ministry or among your professional colleagues might assist this student in experiencing the growth and formation they have identified?
Enter text.
**We do not require a signature for International Learning-Serving Covenants. Please email your completed form to . Thank you!
Page 1Learning-Serving Covenant for Domestic Placements Form Rev. 20160929