Together in the Mystery Supervision Training Confidential Reference Form

Confidential Reference Form: SUPERVISOR

Together in the Mystery Supervision Training
Thank you for taking the time to complete a reference form. Your honest answers to each of the following questions will be helpful and appreciated.

Notice of Confidentiality: All information included here is strictly for the use of our admissions committee and will remain confidential.
Applicant's Name (i.e. your supervisee)
About You as a Supervisor
Your Name
Your Email
example@example.com
Your Phone Number

Area CodePhone Number
Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of the supervision training program you graduated from (please include location and web address):
Briefly describe the supervision training you received, noting its strengths, its weaknesses.
Do you ascribe to the code of ethics proposed by Spiritual Directors International? If not, please indicate the name and web address of the code you follow.

YesNoOther
If you marked "Other" please indicate the name and web address of the code you follow.
Reference

Please reflect on your sense of the applicant's readiness to participate in supervision training in light of their ability to discern the movement of the Holy Spirit; desire to respond generously to God; commitment to living in integrity; acting ethically; self-awareness; ability to describe inner experience; emotional and spiritual maturity; capacity for thoughtful reflection; listening; compassion; openness; teachability; and call to the ministry of supervision.
Writing about your direct experience of the applicant and being careful to omit the specific content of sessions, please reflect on their readiness to receive and participate in supervision training at this time, in light of the above.
How long and in what capacity have you accompanied this applicant? How often do you meet them for supervision? Do you know them in a context other than supervision? If so, please describe.
Again omitting the specific content of supervision sessions, please describe the growing edge of this applicant as it relates to supervision, discuss their ability to maintain appropriate boundaries, and register any concerns that might assist us in assessing this applicant’s potential for meeting the demands of the program and of supervising spiritual directors.
Do you recommend this applicant, recommend this applicant strongly, recommend this applicant with reservations, or discern that this applicant is not ready for supervisor training at this time?
Please add any additional information that will assist the discernment of the admissions committee
I acknowledge that my answers are correct to the best of my knowledge and give Together in the Mystery permission to contact me if needed.

Clear
If you have any questions in regards to this reference or our ministry, please email us at togetherinthemystery@gmail.com. You can also find us on the web at https://www.togetherinthemystery.org/.
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Confidential Reference Form: SUPERVISOR

About You as a Supervisor

Reference