CPM Form 3: Pre-Consultation Report on Development Areas

CPM Form 3: Pre-Consultation Report on Development Areas

PC(USA) Form; Revised December 2011
Date*

MonthDayYear
Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Phone Number*

Area CodePhone Number
Email*
example@example.com
Date of Annual Consultation*

MonthDayYear
Current References for Progress in this Reporting Period
Name*

TitleFirst NameMiddle InitialLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
In what capacity have you worked with this person?*
Name*

TitleFirst NameMiddle InitialLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
In what capacity have you worked with this person?*
Name*

TitleFirst NameMiddle InitialLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
In what capacity have you worked with this person?*
Ordination Exams Update

Please indicate if you have received a satisfactory rating for the following examinations:
Bible Content*

YesNo
Bible Exegesis*

YesNo
Church Polity*

YesNo
Theological Competence*

YesNo
Worship & Sacraments*

YesNo
Reflections
If you have been enrolled in seminary during the reporting period, have your theological institution send a transcript of your grades and any reports on field education or internships to your commission.

In the sections below, please reflect on and respond briefly to the areas of growth objectives agreed upon at your last consultation. In addition to the specific responses requested in each section, list the agreed upon growth objective(s) from the previous Annual Consultation (Form 4), indicate what particular things you have done to achieve each objective, and evaluate your progress in each area.
A. Education for Ministry: List the courses you have completed during the reporting period or are currently taking in BIBLE, HISTORY, THEOLOGY, PRACTICAL, LANGUAGE, and OTHER.*
B. Spiritual Development: Briefly describe your spiritual disciplines, including your participation in the worship and mission of a Presbyterian Church (USA) congregation.*
C. Interpersonal Relations: Describe your relationship with your peers, authority figures, family, and others who are significant to you. What are the implications of those relationships for your ministry?*
D: Personal Growth: Describe recent experiences of emotional impact, if any, and how you dealt with them. Comment on areas in which you believe you are growing and identify areas in which you feel the need for progress.*
E. Professional Development: Describe your participation in field education or other experiences which have contributed to your professional development.*
Looking Ahead

Please provide any information requested below which relates to your continuing progress in the preparation for ministry process.
A. List other issues which you wish to discuss with the committee including financial, needs, family concerns, etc.
B. Indicate any exceptions and waivers (e.g. educational requirements, ordination exams, time requirements, additional presbytery requirements (G-2.0610) you would ask the presbytery and/or the commission to consider, explaining your reasons for the request.
C. If this consultation covers the period of the second year of theological education, write a preliminary statement of faith.
Should be Empty:

CPM Form 3: Pre-Consultation Report on Development Areas

Current References for Progress in this Reporting Period

Ordination Exams Update

Reflections

Looking Ahead