UNITED CHURCH OF CANADA BC CONFERENCE CANDIDACY AND ADMISSION BOARD Supervised Ministry Experien...

CAB SME 225-Evaluation of SME

Student, LST & Supervisor - BC Conference United Church of Canada
***please note you can not save this form and come back to it to edit. If you are unable to complete this form you can email Brenda Wolff for the word document or you can find fillable PDF (under Form Number) on the BC Conference website under the Ministry Personnel tab, Candidacy Pathway forms.
General Information:
Below is a copy of the questions for the internship evaluation. This is an important part of the internship and should be completed and sent to Brenda Wolff at bwolff@bc.united-church.ca half-way through the SME and before the Internship is completed. Evaluations are required every six months plus a final evaluation for a two-year internship.

The Internship Evaluation is divided into three sections:

A. Assessment of growth and learning based on the learning goals

B. Future learning opportunities.

C. Copy of the latest Learning Covenant

Each section includes questions to guide your thinking and help you reflect on your experience. The completed evaluation should have four parts:

1. Intern’s self-evaluation

2. Supervisor’s evaluation

3. Lay Supervision Team evaluation

4. Copy of the latest learning covenant

The internship evaluation is considered a part of the internship experience. It takes time to complete the form thoughtfully, so progress on learning goals should be an ongoing process during the Internship. The evaluation is not something to fill out at the last minute before it is due. This applies equally to the intern, supervisor and Lay Supervision Team.

All parties to the Learning Covenant (LST, Supervisor and Intern) are required to meet face to face to read one another’s comments and include their names in this evaluation, noting that it has been read together. If in sharing the comments there is a disagreement about wording or about an observation, the contentious point may be changed by mutual agreement of all involved, or a comment can be added by the person signing, indication his/her disagreement.

When the evaluation form is complete, make copies and attach or mail this form to Brenda Wolff, bwolff@bc.united-church.ca or mail to BC Conference Office, 4383 Rumble Street, Burnaby, BC, V5J 2A2.

Any questions about the evaluation process can be directed to the BC Conference Candidacy and Admission Board Internship Committee or the Conference Personnel Minister.
In submitting this form you confirm that the information is accurate, to the best of your knowledge

Yes, I agree

Your Name
E-mail
Internship Evaluation
Completed by:
Intern Name:
Theological School
Intern's E-mail
Intern's Home Presbytery
Internship Conference
Internship Site
Internship Supervisor
Length of Internship
This form is for (check one):
A. Description of Internship Experience:

1. Describe the internship experience as follows: please feel free to respond to any aspect of the internship outlined below. If this is a second evaluation on this site, add only those comments that reflect any changes since your last evaluation
For the Intern: please comment on the welcome to the pastoral charge, the development of the Learning Covenant
For the Supervisor: Please comment on the matching process, preparation for the internship experience and Information prior to the arrival of the Intern.
For the Lay Supervision/M&P Committee Team: Please comment on housing and office Space, prospects/concerns for those accompanying the the Intern and support offered by the Conference Candidacy and Admission Board Internship Committee
For all: please comment on the Internship Process, supervision/reflection time and meeting together with the Intern, LST and Supervisor.

Describe the internship as follows (please feel free to respond to any aspect of the internship outlined below. If this is a second evaluation on this site, add only those comments that reflect any changes since your last evaluation):
1. (ALL)Reflect on how it has felt to be a part of this internship experience.
2. (ALL)What spiritual image or biblical character best describes the internship experience for you? Please explain your choice.
B. Evaluation of the Internship 1. The Learning Covenant (attach a copy of the latest Learning Covenant)
Latest Learning Covenant
(For All): If this is a Mid-Term Evaluation:
a. Comment on each of your learning goals, how they have or are being achieved, and what has been learned.
b. Comment on how the learning goals of the other members of the Learning Covenant have or are being achieved.
(For All): If this is a Final Evaluation:
a. Comment on each of your learning goals, to what degree the goals have been met, and what evaluation was offered about each goal.
b. Comment on how the learning goals of the other members of the Learning Covenant have been met.

2. The Supervised Ministry Experience (please answer for both mid-term and final evaluation).
For the Intern:
a. In what ways do you understand yourself as 'minister'?
b. At what times did you feel most affirmed, most challenged?
c. Name one of the important areas of learning during this internship? Name the least helpful area of learning during this internship?
d. How has this internship affected your understanding of ministry and your own development of identity as a minister?
For Supervisor
a. Describe your work with the Intern
b. How have you challenged, affirmed, and critiqued the Intern?
c. Comment on the Intern's faith development and growth in identity as a minister witnessed during this internship
For the Lay Supervision Team or Ministry Personnel Committee
a. How did the committee work as a group and as individuals to provide feedback and support to the Intern?
b. How have you been able to challenge, affirm, and critique the Intern?Give an example.
c. Comment on the Intern's faith development and growth in identity as a minister witnessed during the course of this internship.

3. (Supervisor and LST/or M&P)

Comment briefly on the Intern’s skill and learning in the following areas as applicable (please answer for both mid-term and final evaluation).

If the supervision is off-site, please find opportunities to evaluate as many of the following as possible. Possibilities include requesting verbatims of pastoral visits, crisis intervention, inviting the intern to preach, preside, assist with sacraments, etc.
a. Administration (planning, carrying out tasks, working with the committee’s).
b. Time Management (meeting deadlines,balancing commitments, time for study, self-care).
c. Dealing with stress (dealing with competing agenda's, overwork, anger).
d. Preaching in worship (preparation, delivery, clarity, theological appropriateness, ability to receive feedback).
e. Presiding in worship )preparation, presence, appropriateness, ability to receive feedback).
f. Pastoral Care (counselling, telephone contacts, pastoral presence with people).
g. Home/hospital visits (pastoral presence, follow-up)
h. Sacraments and other ceremonies (e.g. baptism, marriage, funeral).
i. Crisis intervention (awareness, objectivity, ability to refer).
j. Adaptability to local/cultural context (learning local history, entering the community, awareness of local culture and traditions).
k. Small group leadership (preparation, listening skills, group process).
l. Sensitivity to 'isms' (e.g. racism, ageism, heterosexism)

C. Future Learning Opportunities
1. (For Supervisors and LST/M&P) What further experiences or educational opportunities for the Intern would be helpful following this internship (i.e. academic courses, time management skills, pastoral care courses?)
2. (For All) Further comments important for the SME group to know about this Internship.
Please list the names everyone who has read this evaluation:
Intern
Supervisor
LST/M&P Team
Attachment
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CAB SME 225-Evaluation of SME