2.14bApplication for Academic Assessment Committee for Complete List of Courses

(Assessing Degree Equivalency)

Personal Information: (please type or print)
Legal Name:
Address:
Phone #: / Home: Office:
Email:
CASC Region:

Course or Equivalency Checklist Information:

For Advanced:

As well as the completion of two basic units of CPE,application for advanced requires copies (scans) of official transcripts, diplomas or other evidence of completion of the first year of a qualifying masters degree in theology, spirituality, religion or a related clinical field, from an educational institution accredited by the Association of Theological Schools (ATS), or the Council of Higher Education Accreditation (CHEA), or equivalent accrediting body.

For advanced, student will need to have completed:

a)6 semester courses in the candidate’s own faith tradition (3 courses must be in one’s faith tradition and 3 courses can be in another faith tradition) in the following major religious/theological/spiritual disciplines: 1). Interpretation of Sacred Texts; 2) Teachings and Tenets of Faith; 3) Historical Studies of Faith Tradition, and 4) Moral Tenets/Faith-Based Ethics

1)One or more courses in each of the above 4 disciplines and at least 6 courses in total.

2)Some faith based spiritual experiential learning activities might be considered as equivalent

to a course, along the lines of 150 hours of experiential learning equals one course.

b) 4 semester courses in academic foundations for Spiritual Care Practice, ministry training, psychology, counselling. A previous unit of CPE can count for only one of these spiritual care practice courses.

For Certification as Spiritual care Practitioner/Psycho-Spiritual Therapist -, the completion of a 2 year graduate program in theology or related field anda 3 credit graduate course in Professional Ethics is required.

For Supervisor, the completion of a course in Supervision or Adult Learning is also required.

This Checklist serves to let you know what requirements you have and/or are still needed as

you PROCEED toward Advanced Consultation or Certification.

  • This Checklist serves to let you know what requirements you have and/or are still needed as

you PROCEED toward Advanced/Clinical Placement Consultation.

EDUCATION (from earliest till most recent)
Institution / Study Area /

Dates Attended

/ Degree
  • SLOT THE COURSES YOU HAVE TAKEN INTO RELEVANT AREAS.
  • DO NOT WRITE“REFER TO TRANSCRIPT”.
  • Be sure to include copies of your transcripts.

One or more courses and at least 6 courses in totalare required in disciplines (1 – 4).
(1)Historical Studies of Faith Community/Tradition:
Institution / Course # and Title / Dates Attended / Course Contact Hrs
(2)Teaching and Tenets of Faith
Institution / Course # and Title / Dates Attended / Course Contact Hrs
(3)Sacred Texts
Institution / Course # and Title / Dates Attended / Course Contact Hrs
(4)Ethics Studies (Moral Tenets/Faith-Based Ethics)
Institution / Course # and Title / Dates Attended / Course Contact Hrs
(5)Spiritual Care Practice and Competencies
(Courses in ministry training, pastoral care or counselling, psychology, etc.)
Four courses are needed, and only one previous unit of CPE can be counted as one course.
Institution / Course # and Title / Dates Attended / Course Contact Hrs
(6)One 3 credit course in Professional Ethics
(For Spiritual Care Practitioner/Psycho-Spiritual Therapist/Supervisor-Educator Certification)
Institution / Course # and Title / Dates Attended / Course Contact Hrs
(7)One course in Adult Education or Supervision Theory (For Supervisor-Educator Education)
Institution / Course # and Title / Dates Attended / Course Contact Hrs

ALTERNATIVE EDUCATIONAL FORMATION AND PERSONAL AND

PROFESSIONAL DEVELOPMENT

List relevant Life/Career/Ministry Experience and Training (include a curriculum vitae or additional page if needed). Examples may include coursework, workshops, retreats or educational endeavours that involved a significant investment of time and critical reflection.

______

Applicant Signature:
Date:

Applicant emails completed application to AAC Chair Pamela McCarroll –

Academic Assessment Outcome
Approve: Disapprove: Conditional:
Comments/Conditions:
Academic Assessment Chair Signature: / Date:

AAC Chair emails copy to Applicant.

Revised April2017 Posted June2017