Pathways College Placement Form 2025

Pathways Bible College

Placement Form 2025
7 Oak Lane | Judea | Tauranga 3110 | New Zealand

Freephone: 0800 2 PATHWAYS | Phone: +64 7 571 6981 | Email: info@pathways.ac.nz

For best performance, complete this form using a computer or tablet
The information requested in this form is needed to enrol the associated student applicant into a study programme at Pathways College of Bible & Mission. Pathways College observes the conditions governing the release of such information as set out in the Privacy Act 2020.
Who asked you to complete this form?*

Applicant's First NameApplicant's Last Name
Please read the instructions below carefully before you complete this form.
- This Placement Form collects information about where students will complete their placement, what activities they will be involved in, and who their Internship Mentor will be.
- This form should be completed by the student's proposed Internship Mentor, who should hold a leadership position within the church or parachurch organisation where the student is completing their placement. If the Internship Mentor is currently unknown, this form may be completed by a Key Leader within the placement organisation (e.g. pastor, elder, manager etc).
- Please complete all questions, and if the question does not apply, enter or select N/A (unless instructed otherwise).
- Once submitted, this Placement Form will become part of the prospective student's application.
- Pathways College staff will contact you to review the student's intended placement.
If you have any questions, email info@pathways.ac.nz or phone (+64) 07 571 6981 during office hours.

Note: Because students complete placements in a variety of settings, including churches, camps, and other parachurch organisations, this form will use "organisation" or "placement organisation" to encapsulate all the types of settings in which students may complete ministry placements.

Which course or qualification is the student enrolling in?*

NZ Diploma of Christian Studies, Level 5: InternshipNZ Diploma of Christian Studies, Level 6: Leadership
Before continuing please confirm that you or another relevant leader in your organisation has discussed and considered the following topics with the student. Each topic needs to be addressed to the satisfaction of all parties (the student, Pathways College, and your organisation) for a placement to be approved.
- Choice of elective
- Finances
- Transport
- Computer access (including internet)
- Accommodation
- Lines of accountability
- Ethical procedures
- Office space and equipment
- Health & safety requirements
- Where the student can go for pastoral support outside of the supervision relationship, if needed
- Relevant terms, conditions and expectations for all parties
- Requirements for attendance and commitment to services, meetings, functions, etc.
Before continuing please confirm that you or another relevant leader in your organisation has discussed and considered the following topics with the student. Each topic needs to be addressed to the satisfaction of all parties (the student, Pathways College, and your organisation) for a placement to be approved.
- Finances
- Transport
- Computer access (including internet)
- Accommodation
- Lines of accountability
- Ethical procedures
- Office space and equipment
- Health & safety requirements
- Where the student can go for pastoral support outside of the supervision relationship, if needed
- Relevant terms, conditions and expectations for all parties
- Requirements for attendance and commitment to services, meetings, functions, etc.
The above topics have been discussed with the student*

Yes

Internship Mentor Details

If the Internship Mentor is currently unknown, this form may be completed by a Key Leader within the placement organisation (e.g. pastor, elder, manager etc).
What is your name?*

First NameLast Name
Gender*
Title / Position within placement organisation*
Are you the leader of the placement organisation?*

YesNo
Please tell us a little about what is involved in your role within your organisation*
Please describe any previous ministry/supervision experience that qualifies you for this Mentoring role (please include any relevant qualifications attained)*
Phone / Mobile*
What is the best number for us to contact you on?
Email*

Placement Organisation Details
Name of Placement Organisation*
Denomination*
If your church or parachurch organisation is not affiliated with a particular denomination, please select "non-denominational."
Please specify the denomination of the placement organisation*
Please note: Students serving in CCCNZ / Open-Brethren heritage churches and parachurch organisations are eligible to apply for the JH Baldwin Scholarship provided by the Lichfield Lands Incorporated Society.

If your student has not already done so, please encourage them to apply for this scholarship by visiting www.3trustsscholarships.nz.
What is the name of the key leader of your organisation?*

First NameLast Name
Has your organisation ever had students from Pathways College of Bible & Mission before?*

YesNoI don't know
Please describe your organisation's area of ministry (e.g. mission agency based in Tauranga with 8 full-time employees)*
Organisation Address*

Street Address or PO Box

Suburb or Town

City or RegionPost Code

Post CodeCountry
Office Phone Number*
What is the best number for us to contact you on?
Office Email*
example@example.com
Organisation Website*

Student's Proposed Ministry
What is the proposed role or position the student will be asked to fill?*
Please describe the sort of work the student will be involved in.*
What level of responsibility will the student be given?*

No leadership responsibilityAssistant LeaderTeam LeaderCo-LeaderResponsibility for other leadersOther (please specify)
Please specify the level of responsibility the student will be given*
Please indicate the expected number of ministry hours per week for the student (minimum of 16)*
Please note that if your organisation will be employing the student for a certain number of hours per week in addition to their internship hours, the paid hours do not need to be included in this answer.
What are your hopes for the student as they undertake their placement and study this year?*

Electives
Students enrolled into the NZ Diploma of Christian Studies, Level 5 (Internship) are required to do a module called Negotiated Ministry Practice, more commonly referred to simply as an elective. All students are required to complete ONE of the following:
- Biblical Worship taught by Rosie Devery
- Christian Camping taught by Tom Dravitzki
- Christian Communication taught by Richard Goodwin
- Ministry With Children taught by Viki Johnson
- Missions taught by Rebecca De Jong
- Youth Ministry taught by Tom McIvor
If you will be requiring the student to complete a specific elective as part of their internship, please indicate the required elective, or select N/A*

Tell us about the student
How long has the student been a Christian?
How would you describe the student's...
(a) Character*
(b) Personal commitment to Christ*
(c) Learning ability
To what extent has the student been involved in his/her church?
Does the student has any doctrinal peculiarities that you are aware of?
As far as you know, has the student ever needed, or is he/she currently undergoing treatment, for a mental or emotional disorder, or intellectual disability that has needed or currently needs specialist supervised care?
If English is a second language for the student, do you feel that he or she is capable of undertaking the course?
Our aim is to assist students spiritually, encouraging them in their Christian life and service. If the student is accepted, can you think of any additional background information that would help Pathways to better support them? (e.g. family background)
Are there any other comments you would like to add?

Your Recommendation
Do you recommend that the student be accepted to study at Pathways College?*

Yes, I recommend this student without reservation.Yes, I recommend this student but with some reservations (specify below).No, I do not recommend this student (specify below).
Please explain:

Declaration

By signing this form, I agree to the following:
- I am over 18 years old
- I declare that to the best of my knowledge all the information supplied within this Placement Form is true and complete
- I accept that it may be necessary for Pathways College staff to discuss details contained in this Placement Form with the student to determine their suitability to study at Pathways
- This organisation endorses the student as suitable for ministry training in areas approved by the organisation and agrees to provide adequate opportunity for the student to fulfil the requirements of their course or qualification.
- In support of the student, the organisation agrees to provide adequate supervision to the student to fulfil the requirements of their course.
- I confirm that all the information I have provided on this form is true and accurate. I consent to allow Pathways College of Bible & Mission to receive, hold and use this information for the purpose of administering the student's enrolment into their course or qualification.
Clear
Should be Empty:

Pathways Bible College

Internship Mentor Details

Placement Organisation Details

Student's Proposed Ministry

Tell us about the student

Your Recommendation