APPLICATION FOR

PRESBYTERIAN PASTORAL RESIDENCY PROGRAMS

Application Deadline: January 31, 2017

Presbyterian congregations seeking residents for 2017-2019 are:

  • First Presbyterian Church (Ann Arbor, MI—
  • Second Church (Indianapolis, IN--

Please send the following to each program to which you are applying:

  1. A cover letter that addresses the following topics:

1.Why you seek a pastoral residency program and this one in particular.

2.A significant mentoring relationship and two or three significant ways it shaped you.

3.How your background and life experiences (including cultural, geographical, educational, spiritual, or other challenges/opportunities) have shaped your call.

  1. PIF or Form 1 (attached)
  2. Seminary transcripts (emailed or U.S. Mail)

Interviews for selected finalists will be scheduled on:

  • March 3-5, 2017 (Second Church - Indianapolis)
  • March 3-5, 2017 (First Church—Ann Arbor)

Applications should be emailed to:

Second Presbyterian Church

Lake Fellow Residency Program

Ms. Bev McGeeAngie CollinsSecond Presbyterian Church

7700 N. Meridian St.

Indianapolis, IN 46260

Email to Bev McGeeAngie Collins at bmcgeeacollins@secondchurch.org

First Presbyterian Church—Ann Arbor

Rev. Jay Sanderford

Associate Pastor & Program Coordinator

First Presbyterian Church

1432 Washtenaw Avenue

Ann Arbor, Michigan 48104

Email to

APPLICATION FOR

PRESBYTERIAN PASTORAL RESIDENCY PROGRAMS

Application Deadline: January 31, 20165

Presbyterian congregations seeking residents for 2015-20172016-2018 are:

First (Ann Arbor, MI-- Presbyterian Church (Chicago, IL--

Second Church (Indianapolis, IN--

Please send the following to each program to which you are applying:

1.Cover letter that includes:

Your reasons for seeking placement in a pastoral residency program and this one in particular.

Description of a mentoring relationship and two or three significant ways it shaped you.

2.PIF or Form 1 (attached)

3.Seminary transcripts (emailed or U.S. mail)

Interviews for selected finalists will be scheduled on:

February 27-March 1, 2015February 27-28, 2016 (First Church - Ann ArborFourth Church - Chicago)

March 6-811-13, 20165 (Second Church - Indianapolis)

Applications should be emailed to:

First Fourth Presbyterian Church

Pastoral Residency Program

Rev. Jay SanderfordHardy Kim

1432 Washtenaw Ave126 E. Chestnut St.

Ann Arbor, MI 48104Chicago, IL 60611

Email to Jay SanderfordHardy Kim at

Second Presbyterian Church

Lake Fellow Residency Program

Ms. Bev McGee

7700 N. Meridian St.

Indianapolis, IN 46260

Email to Bev McGee at

RESIDENCY APPLICATION

GeneralInformation

Name: (LastName)(FirstName)(MiddleName)

PreferredPhone: AlternatePhone:

E-mail: Fax:

StreetAddress:

City: State: ZIPCode:

PRESBYTERY MEMBERSHIP:

Presbyteryofcare:

CandidacyDate: /(Month//Year)

AnticipatedOrdinationDate: /(Month/Year)

OrdinationExams:

Completed:

Remaining:

ChurchMembership:

NameofPC(USA)ChurchofMembership:

CityState:

FormalEducation:

Seminary:
College:

OtherGraduateDegrees:

EmploymentHistory(duringandfollowingcollegegraduation):

VolunteerService(duringandfollowingcollegegraduation):

ChurchEmployment/Experience(includepositiontitle,city,state,churchsize,communitytype,andlengthofemployment):

OtherServicestotheChurchorDenomination:

Pleaselistatleastthreereferences(includeacademic/seminary,church/congregationalanddenominational/presbyteryreferences):

NameRelationtoyouPhoneE-Mail

1.

2.

3.

4.

5.

6.

Iherebyauthorizethoseinquiringintomysuitabilitytocontactmyreferences. Signature:

PrintName:

Date//

Sexual MisconductSelf Certification

ThefollowinginformationrelatedtosexualmisconductwasmandatedbytheSexualMisconductPolicyandItsProceduresadoptedbythe203rdGeneralAssembly(1991),andwasrevisedbythe205thGeneralAssembly(1993).

Pleasecheckoneofthefollowing:

Icertifybelowthatnocivil,criminal,ecclesiasticalcomplainthaseverbeensustained*orispending*againstmeforsexualmisconduct;andIhaveneverresignedorbeenterminatedfromapositionforreasonsrelatedtosexualmisconduct.

Iamunabletomaketheabovecertification.Ioffer,instead,thefollowingdescriptionofthecomplaint,termination,ortheoutcomeofthesituationwithexplanatorycomments.

TheinformationcontainedinmyPersonalInformationFormonfilewithCallReferralServicesisaccuratetothebestofmyknowledgeandmaybeverifiedbythecallingandemployingentity.IherebyauthorizetheentitytowhichmyPersonalInformationFormisbeingsenttoinquireconcerninganycivilorcriminalrecords,oranyjudicialorproceedinginvolvingmeasadefendant,relatedtosexualmisconduct.BymeansofthisreleaseIalsoauthorizeanypreviousemployer,andanylawenforcementagenciesorjudicialauthoritiesorecclesiasticalgoverningbodiestoreleaseanyandallrequestedrelevantinformationrelatedtosexualmisconducttotheentitytowhichmyPersonalInformationFormisbeingsent.

Ihavereadthiscertificationandreleaseformandfullyunderstandthattheinformationobtainedmaybeusedtodenymyemploymentoranyothertypeofpositionfromtheemployingentity.IalsoagreethatIwillholdharmlesstheemployingorjudicialauthorityoranyotherentityfromanyandallclaims,liabilities,andcausesofactionforthelegitimatereleaseofanyinformationrelatedtosexualmisconduct.

Signature:

PrintName:

Date//

*SustainedInacriminalcourt,"sustained"meansthattherehasbeenaguiltyplea,aguiltyverdictorapleabargain.

  • Inacivilcourt,"sustained"meansthattherehasbeenajudgmentagainstthedefendant.
  • Inanecclesiasticalcase,"sustained"meansthattherehasbeenaguiltypleaandcensureimposed,orfindingofguiltywithcensureimposed,oranAlternativeFormofResolutionAgreementapprovedbyapermanentjudicialcommissioninthePresbyterianChurch(USA)oranequivalentbodyofanotherchurch.

*PendingInacriminalcourt,"pending"meansacriminalchargebeforeagrandjury,intheprocessofbeingprosecuted,orinacasewhichthereisnotyetaverdict.

  • Inacivilcourt,"pending"meansacaseinwhichtherehasnotbeenadecisionorjudgment,
  • Inanecclesiasticalcase,"pending"meansaninvestigatingcommitteeisinquiringintoanallegationorchargeshavebeenfiledbuthavenotbeendecidedbyapermanentjudicialcommission;oranallegationorchargesareinanequivalentstateorprocessinachurchotherthanthePC(USA).

(ThefollowingistakenfromdefinitionsintheGeneralAssemblySexualMisconductPolicyanditsProcedures,Pg.13)

"SexualMisconductisthecomprehensivetermusedinthispolicyanditsprocedurestoinclude:1)Childsexualabuse,asdefinedabove[referstoPolicy];2)Sexualharassment,asdefinedabove[referstoPolicy];3)Rapeorsexualcontactbyforce,threat,orintimidation;4)Sexualconduct(suchasoffensive,obsceneorsuggestivelaorbehavior,unacceptablevisualcontact,unwelcometouchingorfondling)thatisinjurioustothephysicaloremotional

healthofanother;5)SexualMalfeasancedefinedassexualconductwithinaministerial(e.g.clergywithamemberofthecongregation)orprofessionalrelationship(e.g.counselorwithaclient,layemployeewithachurchmember,presbyteryexecutivewithacommitteememberwhomaybealayperson,aminister,oranelder).Sexualconincludesunwelcomesexualadvances,requestforsexualfavors,andverbalorphysicalconductofasexualnature.This

definitionisnotmeanttocoverrelationshipsbetweenspouses,norisitmeanttorestrictchurchprofessionalsfromhavingnormal,social,intimate,ormaritalrelationships;6)SexualAbuseasfoundinBookofOrderD-10.0401b(seeAccuser/Victim)

Pleaseanswerthefollowingquestions.Donotexceed500wordsperanswer.

1.What are your current vocational goals/directions with specific reference to pastoral ministry?Describe a moment in your recent ministry that you recognize as one of success and fulfillment.

2.What are the characteristics of the church or organization you would like to serve, and what unique gifts, skills and experiences would you offer?Describe the ministry setting to which you believe God is calling you.

  1. What areas of growth have you identified in yourself?
  1. Describe a time when you have led change.

As you begin your pastoral ministry, what do you see as one of the most significant challenges facing the church todayProvide your Statement of Faith (Optional)?