Request for Authorization to Engage in the Carleton University Spirituality Centre

Application form for volunteer position with the Carleton Spirituality Centre

Carleton University approves persons who wish to provide religious/spiritual services in a multi-faith environment. Based upon your training, experience, and endorsement of your faith group, you will be assessed as to your suitability for such a volunteer position. Please complete this application form for consideration. If there are any questions you are unable or choose not to answer, please state the reason.
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone (work)
Phone (mobile)
Languages Spoken Proficiently
Ordaining/ Commissioning Authority (if applicable)
Faith Group Authority
Name Street Address City State / Province / Region ZIP / Postal Code Country

Education
College or University
Institution Degree Completed Dates attended
Theological and/or Post-Graduate Studies
Institution Degree Completed Dates attended
Supervised Pastoral Education (SPE)
Centre Supervisor Level (Basic/Advanced) Dates Attended

List, in chronological order, your four most recent units of SPE (either PCE or CPE)
Supervised Pastoral Education (SPE) 2
Centre Supervisor Level (Basic/Advanced) Dates Attended
Supervised Pastoral Education (SPE) 3
Centre Supervisor Level (Basic/Advanced) Dates Attended
Supervised Pastoral Education (SPE) 4
Centre Supervisor Level (Basic/Advanced) Dates Attended
Faith Group or Religious Training
Name and location Courses Completed Dates Attended
Please describe any other related experiences that may qualify you for a volunteer position with the Spirituality Centre

References
Authorization*
Pursuant to Section 39(1) of the Freedom of Information and Protections of Privacy Act, I authorize Carleton University and its staff to contact the person or organizations listed below for the purposes of obtaining reference information.
Spiritual Advisor or other perosn who will attest to spiritual/religious maturity
Name Position/Title Name of Organization Address Email
SPE Supervisor or other person who will attest to clinical abilities
Name Position/Title Name of Organization Address Email
Person to whom you have sent the certificate of faith group endorsement
Name Position/Title Name of Organization Address Email

Faith History
Please briefly answer the following questions
Give a brief background of your religious affiliation and personal faith development
Describe a personal understanding of a belief that comes directly from your faith tradition and how that belief has changed for you over time
Describe some of the cultural practices of your faith group or community and their significance and meaning for you
How do you deal with your faith group's stance concerning other faith groups when it is in conflict with your personal beliefs?
Consent*
I hereby declare that, to my knowledge, the information provided is true and complete, and if authorized to volunteer for Carleton University's Spirituality Centre, I approve my credentials and a brief biographical statement to be publicized in University communications regarding the Spirituality Centre.

Education