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Applicant's Name _____________________________________________________________ Address _______________________________________________________ City ____________________________________ State ________ Zip ___________________ |
Part 1 ...... (to be completed by Pastor)
| Give your appraisal of the potential of the above-named candidate to eventually meet the standards of the synod as described in the PMA Handbook available at www.csspma.org |
| Date Received into Your Congregation ____________________________________ |
| Means of Receipt (i.e., baptism, transfer, etc.) ______________________________ |
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| Please attach a separate sheet to convey information that you wish to share for the application review. |
| Pastor's Recommendation | ||
| I recommend the applicant for acceptance into the PMA Candidacy in accordance with the standards established by the ELCA and the Central States Synod. | ___Yes | ___No |
| I recognize the requirement that the individual be mentored by me or another rostered leader during the candidacy process. My intent is that the mentoring will be by: | ___Me | ___Another rostered leader |
| Name of other rostered leader who will mentor ________________________________ | ||
| Position of other rostered leader ___________________________________________ | ||
| Pastor's Signature ______________________________________________________ | Date ______ | |
Congregation Name ______________________________________________________ |
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| Congregation Street Address _______________________________________________ | ||
| Congregation City, State, Zip _______________________________________________ | ||
| Congregation Telephone ______________________ | ||
Part 2: (to be completed by Congregational Council Officer) |
Date of Congregation Council Meeting _______________________ At the above-captioned meeting, the Congregation Council acted to recommend the applicant in accordance with the standards established by the ELCA and the Central States Synod. ___ Yes ____ No |
| Name of candidate ________________________________________________ |
| President or Designee Signature _____________________________________ |
| Title __________________________________ Date _________________ |
| Telephone Number ______________________________________ |
Part 3: (To be Completed by Congregational Council Officer) |
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A PMA candidate commits considerable time and effort to training / education as well as service. There are expenses in meeting the qualifications for PMA Certification including costs of application as well as for completion of the educational requirements. It is suggested that the Congregation commit its support to the individual in accordance with its gifts and resources. This congregation commits to the following support for the individual for completion of PMA Candidacy: |
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| ____ | $________ as the Congregation's share of the $100 Candidacy application fee. (This fee covers the costs for processing of the application and for a background check.) |
| ____ | $ ________ for each course completed for PMA credit. (The costs include tuition which is usually about $150 plus books and materials.) |
| ____ | $ ________ for costs of attending the required annual PMA Convocation. (The costs usually total about $80 for registration plus transportation.) |
| ____ | For other costs associated with training / education as a PMA. (These may include costs for conferences / workshops, purchasing / cleaning robes, and for other books / materials) |
| ____ | Our commitment for support is listed below: |
| List the $ support (or limits on support) by category: | |
| President or Designee Signature ________________________________________________________ | |
| Title _________________________ Date ________________________ | |
| Telephone Number _____________________________ | |