NOT A CERTIFICATE, APPROVAL, SUPERVISION RECORD, LICENSE OR ORDINATION. This form is a planning checklist. It is not accepted as actual verified hours or approval by the current online system.
Prospective mentor suitability
☐ Verified identity and independent professional/ministry references
☐ Written scope of supervisory duties, areas of competence and conflicts disclosure
☐ Relevant local safeguarding policy and legal reporting obligations reviewed
☐ Appropriate screening, supervision and permission for any work with minors
Practicum plan
☐ An authorized ministry site and qualified observer identified
☐ Types of ministry activity and learning goals written in advance
☐ Consent, confidentiality and referral procedures defined
☐ Actual activity dates, duties and hours recorded without personal client details
☐ A direct-observation and feedback plan established
Independent review (future)
☐ Evidence authenticity checked separately from student self-report
☐ Safety, pastoral boundaries and theological accuracy evaluated
☐ Written academic decisions, appeal and grievance procedures documented
☐ Necessary state authorization/exemption and organizational approvals established
Important limitations
Any formal approval would require the institution to appoint authorized people, adopt policies, check legal requirements and independently confirm the facts. A signature written on this printed page does not become a recognized qualification.
Born Again Daily • Proposed Pastoral Ministry Training • Full details: https://bornagaindaily.com/academy/partners