CPM Form 2A: Report of Pre-Care Consultation of Applicant to Become Inquirer
PC(USA) Form; Revised December 2011
The commission of Pittsburgh Presbytery met with
*
first name
last name
on
*
-
Month
-
Day
Year
date
and submits the following report.
The commission recommends/does not recommend the applicant to be enrolled by the presbytery as an inquirer.
*
recommends
does not recommend
What type of ministry is this applicant interested in?
Minister of Word and Sacrament
Commissioned Ruling Elder
Undecided
Is the applicant an Ordained Ruling Elder?
Yes
No
Growth Objectives
A. In the area of education for ministry
B. In the area of spiritual development
C. In the area of interpersonal relations
D. In the area of personal growth
E. In the area of professional development
Agreement on Further Growth Areas
We have reviewed and jointly agree to the growth objectives for the next review period as reported below.
Indicate the stage of theological education for which this report applies:
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Prior to theological education
First Year theological education
Second year theological education
Third year theological education
Seminary graduate
Name of commissioner
*
First Name
Last Name
Name of applicant
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Signature of commissioner
*
Submit
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