Professional Certificate in Pastoral Supervision in conjunction with

Professional Certificate in Pastoral Supervision
This is a fill in the blank field. Please add the appropiate text.
Basic Information
Name

PrefixFirst NameLast Name
Date of birth

DayMonthYear
Date
Place of birth
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Email
example@example.com
Please select one option:
If you are a priest/seminarian/religious, please state your diocese/religious order:
Will your fees be paid by a third party?

Name and email to which invoices should be sent if different from above
Educational History
Have you completed any third level or professional programmes?
If yes , please give details of two of the most recent programmes you have completed.
Please upload transcripts of your educational qualifications

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Please provide a personal statement outlining your current role, your motivation for applying for this programme and how you meet the requirements to offer supervision during your training? Please outline how you envisage using the training you receive on this programme.(max 1,500 words)

0/1500

Do you have any visual, auditory or mobility needs we should take into consideration?

Other
Are you already working in the area of supervision?
If yes to above, briefly describe the kind of supervision you offer(i.e. pastoral supervision; clinical supervision; creative supervision; group reflective practice etc)
Briefly describe the kind of supervision you receive (i.e. pastoral supervision; clinical supervision; creative supervision; group reflective practice etc) and please note the primary criterion for acceptance is that the applicant is themselves in supervision.
Referee 1
Referee 2
Please download the Reference Form below and send it to each referee, by email or as a hard copy,requesting that they complete the form and return it to admissions@spcm.ie as soon as possible.

https://sppu.ie/files/images/Professional-Certificate-in-Pastoral-Supervision-Reference-Form.docx
Declaration

I declare that the information given by me in this application is true and accurate and that if I am admitted as a student I will abide by the regulations of St Patrick's Pontifical University Maynooth. The University reserves the right not to consider applications, and to cancel any offers of places, where requested information has not been supplied or where falsified or misleading information has been supplied.
Signature
Applications will be assessed for suitability for the programme by the Programme Training Team from the Institute of Pastoral Supervision. Your reference form will be sent electronically by the SPPU Admissions Office. Your information will be stored securely by the Admission Office and by the Programme Training Team’ in their SPPU Programme Dropbox for as long as it is required for the purposes of course administration and assessment. By completing and submitting this form you consent to your information being held and treated in this way
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Professional Certificate in Pastoral Supervision

Basic Information

Educational History

Declaration