Chaplain Mentoring Program Application Form

Name(Required)

Job Title(Required)

Order of Ministry(Required)

Lay

Priest

Deacon

Other

Email(Required)

Phone(Required)

School Name(Required)

School Address(Required)

Address City State / Province / Region ZIP / Postal Code Country

Briefly describe your role and responsibilities as chaplain at your school.(Required)

Include information such as courses and grades taught, frequency of and leadership role in school chapel, and other expectations your school may have such as coordinating service/service learning, providing pastoral care, or other school activities.

What drew you to Episcopal school chaplaincy?(Required)

How do you hope to benefit from a mentoring program?(Required)

What are the most important qualities you seek in a mentor?(Required)

Please add any other comments or additional information:

By checking ALL boxes below, I certify that I understand and have secured the financial and professional development support of my school to fulfill the program’s requirements:(Required)

Participate in a required one-hour online orientation, to be held on September 21, 2022 at 2pm ET.

Attend the NAES Mentoring Program for New Chaplains professional development gathering at NAES Biennial Conference in San Antonio, TX, November 9–11, 2022.

Schedule and fulfill conversations with my mentor approximately once each month.

Schedule and fulfill semi-annual check-ins with NAES staff members.

Upload Head of School Acknowledgement Form

If your head of school has completed the acknowledgement form, you may upload it here as a PDF. Download a blank copy here. You may also email a completed version of this form to info@episcopalschools.org.

Accepted file types: pdf, Max. file size: 50 MB.

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